| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,849 |
3,391 |
$545K |
| H2020 |
Therapeutic behavioral services, per diem |
83 |
62 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,565 |
1,724 |
$598.04 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,297 |
994 |
$200.48 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
146 |
103 |
$96.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
104 |
68 |
$24.83 |
| 81003 |
|
146 |
93 |
$6.72 |
| 81005 |
|
829 |
479 |
$0.00 |
| 1126F |
|
195 |
180 |
$0.00 |
| 3079F |
|
80 |
68 |
$0.00 |
| 1125F |
|
24 |
24 |
$0.00 |
| 3075F |
|
21 |
12 |
$0.00 |
| 3074F |
|
179 |
169 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
33 |
24 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 82962 |
|
17 |
16 |
$0.00 |
| 3077F |
|
95 |
82 |
$0.00 |
| 1160F |
|
223 |
163 |
$0.00 |
| 3078F |
|
124 |
115 |
$0.00 |
| 1159F |
|
91 |
51 |
$0.00 |
| 81025 |
|
49 |
37 |
$0.00 |