| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,556 |
33,825 |
$3.87M |
| H2020 |
Therapeutic behavioral services, per diem |
1,490 |
491 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,477 |
14,971 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,649 |
10,094 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,370 |
1,109 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,445 |
1,241 |
$10K |
| 99383 |
|
133 |
98 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,423 |
2,040 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,470 |
1,281 |
$6K |
| 92551 |
|
3,823 |
3,245 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,455 |
1,979 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
272 |
239 |
$5K |
| 98960 |
|
932 |
389 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
914 |
781 |
$3K |
| 99384 |
|
63 |
42 |
$3K |
| 99382 |
|
54 |
28 |
$2K |
| 99050 |
|
190 |
93 |
$2K |
| 99173 |
|
6,765 |
5,559 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,222 |
1,854 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
867 |
771 |
$774.07 |
| 0001A |
|
156 |
54 |
$741.60 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,157 |
977 |
$524.63 |
| 0002A |
|
155 |
49 |
$519.12 |
| 1160F |
|
28,028 |
22,232 |
$210.74 |
| 99051 |
|
15 |
12 |
$160.60 |
| 96127 |
|
4,611 |
3,853 |
$142.50 |
| 90474 |
|
53 |
48 |
$136.95 |
| 3044F |
|
1,640 |
1,423 |
$90.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
572 |
237 |
$82.40 |
| 99385 |
|
525 |
382 |
$80.17 |
| 99408 |
|
1,533 |
1,332 |
$52.96 |
| 3079F |
|
1,871 |
1,563 |
$50.00 |
| 3074F |
|
2,981 |
2,554 |
$25.00 |
| 3080F |
|
71 |
58 |
$20.00 |
| 90686 |
|
489 |
432 |
$19.03 |
| 97803 |
|
1,657 |
1,390 |
$16.85 |
| 3077F |
|
61 |
53 |
$15.00 |
| 3078F |
|
1,793 |
1,556 |
$10.00 |
| 81025 |
|
1,388 |
741 |
$5.05 |
| 3725F |
|
2,482 |
2,161 |
$0.00 |
| 96160 |
|
998 |
880 |
$0.00 |
| 1159F |
|
24,261 |
19,293 |
$0.00 |
| 3511F |
|
2,930 |
2,481 |
$0.00 |
| 81002 |
|
32 |
27 |
$0.00 |
| 3513F |
|
1,589 |
1,385 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
450 |
204 |
$0.00 |
| 81003 |
|
468 |
363 |
$0.00 |
| 4013F |
|
528 |
431 |
$0.00 |
| 90734 |
|
130 |
108 |
$0.00 |
| 90672 |
|
56 |
48 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
119 |
108 |
$0.00 |
| 90633 |
|
52 |
43 |
$0.00 |
| 99442 |
|
66 |
57 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
91 |
42 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
38 |
15 |
$0.00 |
| 1033F |
|
254 |
224 |
$0.00 |
| 91300 |
|
339 |
101 |
$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 |
126 |
97 |
$0.00 |
| 90715 |
|
30 |
25 |
$0.00 |
| 90710 |
|
19 |
12 |
$0.00 |
| 3008F |
|
12,374 |
9,863 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,230 |
1,071 |
$0.00 |
| 1000F |
|
1,993 |
1,741 |
$0.00 |
| 3514F |
|
1,587 |
1,383 |
$0.00 |
| 3075F |
|
501 |
422 |
$0.00 |
| 90619 |
|
91 |
83 |
$0.00 |
| 3011F |
|
1,891 |
1,628 |
$0.00 |
| 99000 |
|
1,061 |
883 |
$0.00 |
| 36416 |
|
1,055 |
902 |
$0.00 |
| 3512F |
|
1,526 |
1,333 |
$0.00 |
| 1034F |
|
159 |
148 |
$0.00 |
| 90620 |
|
198 |
175 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
30 |
29 |
$0.00 |
| 3014F |
|
101 |
74 |
$0.00 |
| 1036F |
|
267 |
232 |
$0.00 |
| 85018 |
|
121 |
94 |
$0.00 |
| 4010F |
|
138 |
118 |
$0.00 |
| 91301 |
|
56 |
25 |
$0.00 |
| 99386 |
|
55 |
51 |
$0.00 |
| 3061F |
|
13 |
12 |
$0.00 |
| 3048F |
|
18 |
14 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |