| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
19,524 |
17,420 |
$2.68M |
| H2015 |
Comprehensive community support services, per 15 minutes |
12,715 |
4,477 |
$2.22M |
| 99213 |
|
14,143 |
12,490 |
$1.90M |
| 90834 |
|
2,881 |
1,886 |
$520K |
| 90791 |
|
1,879 |
1,869 |
$325K |
| Q3014 |
Telehealth originating site facility fee |
8,277 |
6,558 |
$227K |
| 90832 |
|
1,154 |
838 |
$207K |
| 99441 |
|
1,085 |
982 |
$184K |
| 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 |
7,371 |
5,291 |
$162K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
833 |
192 |
$143K |
| 99203 |
|
655 |
648 |
$106K |
| 90837 |
|
607 |
442 |
$104K |
| 99212 |
|
658 |
627 |
$100K |
| 90792 |
|
275 |
271 |
$49K |
| 99442 |
|
232 |
218 |
$37K |
| 99215 |
Prolong outpt/office vis |
296 |
273 |
$25K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
664 |
548 |
$24K |
| 99395 |
|
159 |
157 |
$23K |
| 0011A |
|
154 |
154 |
$22K |
| 99396 |
|
112 |
110 |
$18K |
| 0012A |
|
139 |
135 |
$16K |
| 36415 |
|
2,660 |
2,614 |
$15K |
| 99204 |
|
82 |
79 |
$13K |
| 91301 |
|
78 |
78 |
$13K |
| 85025 |
|
1,615 |
1,610 |
$7K |
| 99392 |
|
33 |
32 |
$6K |
| 90460 |
|
119 |
86 |
$6K |
| 99202 |
|
12 |
12 |
$2K |
| 99391 |
|
15 |
14 |
$2K |
| 99383 |
|
15 |
15 |
$2K |
| 83036 |
|
2,509 |
2,474 |
$1K |
| 82306 |
|
662 |
661 |
$1K |
| 90471 |
|
519 |
513 |
$1K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
548 |
523 |
$608.74 |
| 80053 |
|
1,787 |
1,780 |
$607.36 |
| 87491 |
|
502 |
496 |
$605.34 |
| 84443 |
|
1,480 |
1,465 |
$596.36 |
| 81002 |
|
377 |
368 |
$368.29 |
| 84481 |
|
14 |
14 |
$366.78 |
| 96372 |
|
1,154 |
1,061 |
$322.57 |
| 86780 |
|
229 |
228 |
$201.78 |
| 92250 |
|
27 |
27 |
$201.78 |
| 84439 |
|
132 |
132 |
$201.78 |
| G0008 |
Administration of influenza virus vaccine |
146 |
144 |
$51.52 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
16 |
$42.08 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
128 |
126 |
$28.17 |
| 90686 |
|
413 |
409 |
$21.95 |
| 90715 |
|
44 |
44 |
$18.21 |
| 87428 |
|
127 |
125 |
$18.05 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$10.27 |
| 87880 |
|
73 |
72 |
$9.48 |
| 87591 |
|
518 |
496 |
$0.00 |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
150 |
145 |
$0.00 |
| 36416 |
|
860 |
852 |
$0.00 |
| 90688 |
|
178 |
174 |
$0.00 |
| 86803 |
|
82 |
82 |
$0.00 |
| 82043 |
|
221 |
219 |
$0.00 |
| 82607 |
|
176 |
176 |
$0.00 |
| 85027 |
|
15 |
15 |
$0.00 |
| 87340 |
|
66 |
66 |
$0.00 |
| 86695 |
|
16 |
16 |
$0.00 |
| 96374 |
|
12 |
12 |
$0.00 |
| 80061 |
|
1,221 |
1,217 |
$0.00 |
| 82570 |
|
232 |
219 |
$0.00 |
| 86703 |
|
242 |
241 |
$0.00 |
| 80074 |
|
16 |
16 |
$0.00 |
| 90461 |
|
67 |
67 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |