| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,291 |
6,600 |
$969K |
| H2020 |
Therapeutic behavioral services, per diem |
440 |
155 |
$21K |
| 3077F |
|
308 |
269 |
$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 |
811 |
749 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
231 |
204 |
$0.00 |
| 3078F |
|
412 |
364 |
$0.00 |
| 1159F |
|
241 |
225 |
$0.00 |
| 1160F |
|
241 |
225 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
15 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
35 |
$0.00 |
| 90756 |
|
43 |
33 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
319 |
101 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
19 |
12 |
$0.00 |
| 99307 |
|
20 |
14 |
$0.00 |
| 3008F |
|
1,445 |
1,237 |
$0.00 |
| 1034F |
|
575 |
487 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
232 |
180 |
$0.00 |
| 1036F |
|
768 |
644 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,267 |
1,499 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,424 |
1,736 |
$0.00 |
| 3075F |
|
195 |
161 |
$0.00 |
| 00000 |
|
1,614 |
768 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,634 |
5,609 |
$0.00 |
| 3074F |
|
674 |
590 |
$0.00 |
| 3079F |
|
575 |
490 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
98 |
82 |
$0.00 |
| 3080F |
|
132 |
109 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,367 |
1,019 |
$0.00 |
| 90686 |
|
24 |
24 |
$0.00 |
| 99305 |
|
15 |
13 |
$0.00 |
| 95115 |
|
45 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
65 |
55 |
$0.00 |