| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
35,939 |
24,341 |
$3.93M |
| H2020 |
Therapeutic behavioral services, per diem |
3,347 |
2,003 |
$428K |
| 98960 |
|
110 |
41 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,706 |
5,788 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,758 |
674 |
$708.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,965 |
12,382 |
$333.46 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,585 |
1,406 |
$189.34 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
59 |
26 |
$47.42 |
| 90836 |
|
24 |
14 |
$46.99 |
| 3077F |
|
2,605 |
2,064 |
$45.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
936 |
816 |
$39.50 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
444 |
318 |
$28.92 |
| 3079F |
|
3,743 |
3,076 |
$25.00 |
| 3075F |
|
1,480 |
1,251 |
$5.00 |
| 3074F |
|
7,078 |
5,693 |
$5.00 |
| 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 |
4,685 |
4,242 |
$0.00 |
| 20600 |
|
15 |
12 |
$0.00 |
| 1160F |
|
8,416 |
6,517 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
94 |
62 |
$0.00 |
| 81003 |
|
2,447 |
1,558 |
$0.00 |
| 3078F |
|
5,351 |
4,361 |
$0.00 |
| 92015 |
Determination of refractive state |
763 |
261 |
$0.00 |
| 1159F |
|
2,132 |
1,592 |
$0.00 |
| 81025 |
|
1,075 |
885 |
$0.00 |
| 87210 |
|
623 |
551 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
407 |
315 |
$0.00 |
| 83037 |
|
218 |
182 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
425 |
339 |
$0.00 |
| 99173 |
|
165 |
147 |
$0.00 |
| 93224 |
|
155 |
135 |
$0.00 |
| 1033F |
|
245 |
172 |
$0.00 |
| 90838 |
|
137 |
84 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
213 |
173 |
$0.00 |
| 94621 |
|
187 |
151 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
14 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
198 |
87 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
12 |
$0.00 |
| 1126F |
|
11,152 |
8,742 |
$0.00 |
| 1111F |
|
812 |
624 |
$0.00 |
| 3080F |
|
1,942 |
1,612 |
$0.00 |
| 90688 |
|
93 |
83 |
$0.00 |
| 1125F |
|
1,338 |
1,127 |
$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 |
906 |
782 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
208 |
151 |
$0.00 |
| 85018 |
|
65 |
57 |
$0.00 |
| 82962 |
|
500 |
402 |
$0.00 |
| 81005 |
|
428 |
275 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
155 |
112 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,356 |
522 |
$0.00 |
| 3008F |
|
214 |
166 |
$0.00 |
| 93351 |
|
62 |
30 |
$0.00 |
| 92551 |
|
75 |
75 |
$0.00 |
| 94760 |
|
16 |
15 |
$0.00 |
| 90674 |
|
113 |
102 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
165 |
150 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
22 |
14 |
$0.00 |
| 93000 |
|
70 |
65 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
86 |
59 |
$0.00 |
| 1031F |
|
24 |
18 |
$0.00 |
| 4010F |
|
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
20 |
17 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$0.00 |