| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
15,784 |
10,325 |
$1.25M |
| H2020 |
Therapeutic behavioral services, per diem |
2,668 |
1,005 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,972 |
5,599 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,714 |
5,617 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
806 |
670 |
$116.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$19.86 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
235 |
199 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,244 |
547 |
$0.00 |
| 3074F |
|
16 |
15 |
$0.00 |
| 99000 |
|
505 |
384 |
$0.00 |
| 86803 |
|
439 |
374 |
$0.00 |
| 99406 |
|
46 |
37 |
$0.00 |
| 00000 |
|
56 |
40 |
$0.00 |
| 3044F |
|
26 |
26 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
26 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
383 |
312 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
749 |
339 |
$0.00 |
| 3077F |
|
29 |
29 |
$0.00 |
| 3078F |
|
43 |
40 |
$0.00 |
| 96160 |
|
192 |
169 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
14 |
$0.00 |