| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,452 |
23,653 |
$3.23M |
| H2020 |
Therapeutic behavioral services, per diem |
69 |
30 |
$4K |
| 3074F |
|
13,249 |
10,547 |
$715.00 |
| 3078F |
|
11,866 |
9,486 |
$680.00 |
| 3077F |
|
4,775 |
3,876 |
$415.00 |
| 3079F |
|
7,462 |
6,249 |
$340.00 |
| 3080F |
|
3,480 |
2,931 |
$320.00 |
| 3075F |
|
4,496 |
3,913 |
$245.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,573 |
17,543 |
$0.03 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,430 |
5,331 |
$0.01 |
| 1170F |
|
23,001 |
17,089 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,544 |
1,023 |
$0.00 |
| 3008F |
|
20,921 |
15,873 |
$0.00 |
| 1125F |
|
4,042 |
3,334 |
$0.00 |
| 1126F |
|
11,537 |
9,024 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
739 |
416 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
289 |
246 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
34 |
$0.00 |
| 3044F |
|
32 |
26 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$0.00 |
| 1003F |
|
14,490 |
11,087 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
471 |
409 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
16 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
682 |
646 |
$0.00 |
| 99307 |
|
1,388 |
954 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
1,344 |
1,330 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
589 |
551 |
$0.00 |
| 1159F |
|
124 |
103 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
42 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
43 |
$0.00 |
| 1160F |
|
124 |
103 |
$0.00 |
| 90756 |
|
52 |
34 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
12 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
35 |
12 |
$0.00 |