| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2020 |
Therapeutic behavioral services, per diem |
61,697 |
26,740 |
$3.77M |
| T1015 |
Clinic visit/encounter, all-inclusive |
38,700 |
21,730 |
$2.94M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,096 |
15,056 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,485 |
16,060 |
$1K |
| 99406 |
|
6,738 |
3,843 |
$160.22 |
| 90791 |
Psychiatric diagnostic evaluation |
3,814 |
2,038 |
$102.85 |
| 3075F |
|
64 |
25 |
$20.00 |
| 3079F |
|
120 |
50 |
$10.00 |
| 3074F |
|
126 |
49 |
$5.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
202 |
139 |
$0.00 |
| 80305 |
|
21 |
12 |
$0.00 |
| 80061 |
Lipid panel |
25 |
25 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
400 |
277 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
4,943 |
1,144 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
555 |
370 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
624 |
299 |
$0.00 |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
1,565 |
245 |
$0.00 |
| 99201 |
|
26 |
14 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
39 |
$0.00 |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
54 |
44 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
27 |
12 |
$0.00 |
| 3078F |
|
47 |
15 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,222 |
530 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
1,191 |
1,096 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
121 |
117 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
869 |
596 |
$0.00 |
| 3008F |
|
321 |
137 |
$0.00 |
| 93000 |
|
98 |
73 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
304 |
228 |
$0.00 |
| 85027 |
|
53 |
49 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
206 |
132 |
$0.00 |
| 3048F |
|
133 |
61 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
31 |
29 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
72 |
44 |
$0.00 |
| 81001 |
|
71 |
57 |
$0.00 |
| 90674 |
|
21 |
18 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
75 |
32 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
171 |
109 |
$0.00 |
| 1000F |
|
474 |
340 |
$0.00 |
| 90656 |
|
16 |
12 |
$0.00 |