| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
20,472 |
13,567 |
$3.50M |
| G0467 |
Fqhc visit, estab pt |
26,729 |
16,432 |
$1.26M |
| H2027 |
Psychoed svc, per 15 min |
2,817 |
491 |
$83K |
| H0005 |
Alcohol and/or drug services |
1,665 |
380 |
$49K |
| H2014 |
Skills train and dev, 15 min |
1,619 |
375 |
$38K |
| H0004 |
Alcohol and/or drug services |
640 |
283 |
$35K |
| 90839 |
|
168 |
57 |
$23K |
| H0001 |
Alcohol and/or drug assess |
112 |
98 |
$12K |
| 80305 |
|
1,058 |
247 |
$7K |
| T1017 |
Targeted case management |
57 |
44 |
$2K |
| H0002 |
Alcohol and/or drug screenin |
17 |
14 |
$2K |
| H0048 |
Spec coll non-blood:a/d test |
137 |
60 |
$1K |
| 99213 |
|
7,173 |
4,806 |
$799.00 |
| 90837 |
|
3,352 |
1,283 |
$555.17 |
| 99214 |
|
7,469 |
5,120 |
$361.12 |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,254 |
366 |
$128.23 |
| 92014 |
|
96 |
67 |
$117.45 |
| 90791 |
|
277 |
243 |
$0.00 |
| 90832 |
|
792 |
483 |
$0.00 |
| H0023 |
Alcohol and/or drug outreach |
160 |
156 |
$0.00 |
| G0470 |
Fqhc visit, mh estab pt |
1,063 |
298 |
$0.00 |
| G9001 |
Mccd, initial rate |
58 |
53 |
$0.00 |
| 11721 |
|
149 |
119 |
$0.00 |
| 90658 |
|
14 |
14 |
$0.00 |
| D0999 |
|
903 |
774 |
$0.00 |
| G9006 |
Mccd, home monitoring |
67,816 |
2,657 |
$0.00 |
| 90834 |
|
542 |
327 |
$0.00 |
| 36415 |
|
814 |
602 |
$0.00 |
| 90471 |
|
60 |
47 |
$0.00 |