| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
59,800 |
41,976 |
$4.90M |
| H2020 |
Therapeutic behavioral services, per diem |
6,945 |
2,695 |
$434K |
| 99051 |
|
1,891 |
1,416 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,331 |
24,794 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,492 |
1,191 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,748 |
2,012 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,143 |
9,284 |
$5K |
| 98960 |
|
1,953 |
849 |
$4K |
| 99050 |
|
373 |
160 |
$3K |
| 99384 |
|
22 |
20 |
$901.90 |
| 99383 |
|
17 |
17 |
$744.03 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
105 |
53 |
$311.53 |
| 0012A |
|
26 |
14 |
$296.64 |
| 3074F |
|
2,968 |
2,507 |
$280.00 |
| 36415 |
Collection of venous blood by venipuncture |
853 |
509 |
$249.72 |
| 3044F |
|
2,846 |
2,451 |
$240.00 |
| 92551 |
|
1,506 |
1,290 |
$239.83 |
| 3079F |
|
2,060 |
1,713 |
$215.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,401 |
1,202 |
$88.20 |
| 3078F |
|
1,174 |
1,013 |
$75.00 |
| 94760 |
|
498 |
232 |
$74.15 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,120 |
1,048 |
$66.72 |
| 82962 |
|
95 |
53 |
$60.48 |
| 3075F |
|
316 |
274 |
$55.00 |
| 0011A |
|
27 |
15 |
$52.90 |
| 81002 |
|
272 |
199 |
$32.48 |
| 99173 |
|
5,953 |
4,541 |
$29.77 |
| 99408 |
|
2,319 |
1,963 |
$21.18 |
| 3077F |
|
43 |
36 |
$5.00 |
| 3512F |
|
2,032 |
1,743 |
$0.00 |
| 1036F |
|
822 |
677 |
$0.00 |
| 1000F |
|
3,038 |
2,536 |
$0.00 |
| 3008F |
|
26,687 |
20,185 |
$0.00 |
| 90686 |
|
453 |
383 |
$0.00 |
| 3011F |
|
1,957 |
1,698 |
$0.00 |
| 1034F |
|
416 |
349 |
$0.00 |
| 96127 |
|
3,271 |
2,416 |
$0.00 |
| 85018 |
|
210 |
185 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
291 |
257 |
$0.00 |
| 3061F |
|
91 |
84 |
$0.00 |
| 36416 |
|
473 |
412 |
$0.00 |
| 3514F |
|
2,071 |
1,779 |
$0.00 |
| 90656 |
|
308 |
264 |
$0.00 |
| 3048F |
|
327 |
273 |
$0.00 |
| 4010F |
|
1,541 |
1,244 |
$0.00 |
| 99406 |
|
218 |
138 |
$0.00 |
| 99000 |
|
878 |
764 |
$0.00 |
| 3049F |
|
138 |
117 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,946 |
801 |
$0.00 |
| 90619 |
|
50 |
47 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
63 |
45 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
80 |
58 |
$0.00 |
| 3014F |
|
60 |
41 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 91301 |
|
76 |
34 |
$0.00 |
| 90620 |
|
16 |
16 |
$0.00 |
| 99385 |
|
32 |
26 |
$0.00 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
15 |
15 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
76 |
26 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,728 |
1,446 |
$0.00 |
| 1159F |
|
31,529 |
23,595 |
$0.00 |
| 3511F |
|
2,666 |
2,294 |
$0.00 |
| 1160F |
|
37,212 |
27,836 |
$0.00 |
| 3513F |
|
2,051 |
1,760 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
346 |
286 |
$0.00 |
| 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 |
932 |
877 |
$0.00 |
| 97803 |
|
1,251 |
864 |
$0.00 |
| 3725F |
|
2,788 |
2,244 |
$0.00 |
| 96160 |
|
2,516 |
2,118 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,051 |
895 |
$0.00 |
| 4013F |
|
3,214 |
2,525 |
$0.00 |
| 81003 |
|
451 |
360 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
782 |
506 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
576 |
518 |
$0.00 |
| 1033F |
|
469 |
387 |
$0.00 |
| 81025 |
|
256 |
181 |
$0.00 |
| 99442 |
|
198 |
106 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,003 |
397 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
156 |
117 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
149 |
67 |
$0.00 |
| 80306 |
|
89 |
73 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
69 |
$0.00 |
| 99401 |
|
59 |
53 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
312 |
264 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
116 |
108 |
$0.00 |
| 92552 |
|
80 |
67 |
$0.00 |
| 3050F |
|
43 |
39 |
$0.00 |
| 80305 |
|
60 |
43 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
14 |
$0.00 |