| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
74,361 |
50,355 |
$7.29M |
| H2020 |
Therapeutic behavioral services, per diem |
34,119 |
13,322 |
$2.40M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,307 |
24,636 |
$510.08 |
| 0001A |
|
532 |
222 |
$397.18 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,831 |
9,984 |
$129.47 |
| 0064A |
|
66 |
23 |
$110.94 |
| 90834 |
Psychotherapy, 45 minutes with patient |
10,308 |
2,699 |
$97.66 |
| 0003A |
|
339 |
190 |
$66.03 |
| 0002A |
|
671 |
243 |
$61.78 |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,935 |
893 |
$46.04 |
| 0012A |
|
1,654 |
845 |
$36.78 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,190 |
1,017 |
$27.99 |
| J3490 |
Unclassified drugs |
182 |
132 |
$0.01 |
| 0124A |
|
217 |
161 |
$0.00 |
| 81025 |
|
1,054 |
509 |
$0.00 |
| 80305 |
|
7,844 |
3,756 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,297 |
6,355 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
21 |
14 |
$0.00 |
| 92552 |
|
94 |
78 |
$0.00 |
| 91300 |
|
2,338 |
988 |
$0.00 |
| 91312 |
|
286 |
220 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,634 |
690 |
$0.00 |
| 90750 |
|
72 |
54 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
1,079 |
761 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
167 |
122 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
160 |
95 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,304 |
940 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
93 |
74 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
362 |
260 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
559 |
410 |
$0.00 |
| 99173 |
|
41 |
29 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
104 |
86 |
$0.00 |
| 99442 |
|
152 |
87 |
$0.00 |
| 90461 |
|
45 |
30 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 90749 |
|
139 |
117 |
$0.00 |
| 86703 |
|
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
929 |
437 |
$0.00 |
| 3085F |
|
29 |
15 |
$0.00 |
| 90661 |
|
35 |
32 |
$0.00 |
| 86328 |
|
68 |
44 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
117 |
36 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
18 |
13 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
27 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
13 |
$0.00 |
| S9083 |
Global fee urgent care centers |
42 |
34 |
$0.00 |
| 90611 |
|
33 |
25 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
35 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
13 |
$0.00 |
| 3008F |
|
2,326 |
1,264 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,248 |
3,605 |
$0.00 |
| 90686 |
|
1,288 |
1,005 |
$0.00 |
| 91301 |
|
2,773 |
1,556 |
$0.00 |
| 90674 |
|
636 |
400 |
$0.00 |
| 99443 |
|
88 |
53 |
$0.00 |
| 99407 |
|
809 |
451 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,104 |
672 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
817 |
374 |
$0.00 |
| 4000F |
|
682 |
444 |
$0.00 |
| 91307 |
|
57 |
28 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
532 |
209 |
$0.00 |
| 90651 |
|
153 |
101 |
$0.00 |
| 90688 |
|
15 |
14 |
$0.00 |
| 0011A |
|
1,126 |
770 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
50 |
27 |
$0.00 |
| 90732 |
|
24 |
12 |
$0.00 |
| 90694 |
|
108 |
50 |
$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 |
18 |
12 |
$0.00 |
| 91306 |
|
66 |
23 |
$0.00 |