| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
51,407 |
35,882 |
$4.11M |
| H2020 |
Therapeutic behavioral services, per diem |
6,000 |
2,827 |
$340K |
| G9919 |
Screening performed and positive and provision of recommendations |
216 |
129 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,244 |
28,205 |
$120.12 |
| 99051 |
|
12 |
12 |
$107.04 |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,447 |
2,947 |
$48.83 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,725 |
5,688 |
$15.84 |
| 99173 |
|
1,953 |
1,413 |
$0.00 |
| 81002 |
|
435 |
363 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,057 |
894 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
137 |
85 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
697 |
473 |
$0.00 |
| 90473 |
|
43 |
27 |
$0.00 |
| 90672 |
|
86 |
60 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
139 |
131 |
$0.00 |
| 90633 |
|
41 |
15 |
$0.00 |
| 80305 |
|
28 |
26 |
$0.00 |
| 96160 |
|
95 |
68 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
27 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
40 |
$0.00 |
| 90734 |
|
61 |
27 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
209 |
39 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
106 |
44 |
$0.00 |
| 90686 |
|
280 |
236 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
943 |
757 |
$0.00 |
| 92551 |
|
1,885 |
1,410 |
$0.00 |
| 90688 |
|
17 |
14 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
553 |
312 |
$0.00 |
| 0011A |
|
69 |
69 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
102 |
89 |
$0.00 |
| 93000 |
|
143 |
132 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
73 |
53 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
67 |
60 |
$0.00 |
| 91301 |
|
227 |
166 |
$0.00 |
| 0012A |
|
82 |
68 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
25 |
24 |
$0.00 |
| 90474 |
|
26 |
16 |
$0.00 |