| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
65,968 |
47,183 |
$12.45M |
| T1016 |
Case management, each 15 minutes |
5,446 |
4,540 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,823 |
18,047 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,952 |
11,994 |
$73K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
14,576 |
7,287 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,481 |
1,379 |
$12K |
| H0031 |
Mental health assessment, by non-physician |
1,262 |
1,177 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
952 |
900 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
318 |
297 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
708 |
680 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,986 |
1,840 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
148 |
145 |
$2K |
| 90686 |
|
986 |
890 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
134 |
126 |
$1K |
| 97802 |
|
1,293 |
1,158 |
$1K |
| 0072A |
|
29 |
26 |
$1K |
| 0054A |
|
14 |
14 |
$747.00 |
| 96156 |
|
765 |
615 |
$687.52 |
| 99442 |
|
465 |
417 |
$649.26 |
| 97803 |
|
418 |
372 |
$556.90 |
| 0064A |
|
89 |
70 |
$400.00 |
| 93000 |
|
186 |
175 |
$327.99 |
| 81002 |
|
444 |
403 |
$214.01 |
| 90834 |
Psychotherapy, 45 minutes with patient |
906 |
499 |
$159.20 |
| 0124A |
|
65 |
59 |
$140.79 |
| 90715 |
|
283 |
255 |
$132.98 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
444 |
386 |
$116.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
49 |
$92.55 |
| 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 |
16 |
14 |
$70.46 |
| 81025 |
|
41 |
37 |
$47.46 |
| 90791 |
Psychiatric diagnostic evaluation |
81 |
77 |
$35.23 |
| 96160 |
|
26 |
26 |
$17.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
115 |
109 |
$14.30 |
| 96150 |
|
188 |
139 |
$0.00 |
| 3008F |
|
2,272 |
2,076 |
$0.00 |
| 3075F |
|
165 |
163 |
$0.00 |
| 99441 |
|
309 |
251 |
$0.00 |
| 2010F |
|
2,304 |
2,108 |
$0.00 |
| 96127 |
|
132 |
125 |
$0.00 |
| 1036F |
|
1,831 |
1,664 |
$0.00 |
| 3074F |
|
1,723 |
1,583 |
$0.00 |
| 3079F |
|
589 |
572 |
$0.00 |
| 2000F |
|
2,224 |
2,037 |
$0.00 |
| 3351F |
|
1,106 |
1,042 |
$0.00 |
| 3080F |
|
58 |
57 |
$0.00 |
| 2001F |
|
2,251 |
2,059 |
$0.00 |
| 4010F |
|
303 |
276 |
$0.00 |
| 0001A |
|
132 |
125 |
$0.00 |
| 0134A |
|
32 |
27 |
$0.00 |
| 1034F |
|
315 |
281 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
12 |
12 |
$0.00 |
| 90480 |
|
58 |
44 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
22 |
13 |
$0.00 |
| 90656 |
|
80 |
44 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
20 |
$0.00 |
| 87428 |
|
17 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| 99443 |
|
14 |
13 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
267 |
163 |
$0.00 |
| 90732 |
|
17 |
15 |
$0.00 |
| 4037F |
|
63 |
62 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
28 |
$0.00 |
| 1160F |
|
1,891 |
1,741 |
$0.00 |
| 3077F |
|
161 |
154 |
$0.00 |
| 4274F |
|
432 |
387 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
158 |
147 |
$0.00 |
| 1159F |
|
1,891 |
1,741 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
331 |
255 |
$0.00 |
| 3078F |
|
1,427 |
1,327 |
$0.00 |
| 4040F |
|
14 |
12 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
65 |
58 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$0.00 |
| 91320 |
|
56 |
42 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
104 |
73 |
$0.00 |
| 0071A |
|
16 |
14 |
$0.00 |
| 0002A |
|
26 |
26 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |