| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
56,487 |
39,860 |
$6.29M |
| H2020 |
Therapeutic behavioral services, per diem |
14,157 |
7,958 |
$1.16M |
| 3074F |
|
11,480 |
8,209 |
$13K |
| 3078F |
|
11,437 |
8,141 |
$7K |
| 3077F |
|
2,650 |
1,855 |
$2K |
| 3079F |
|
2,731 |
1,908 |
$2K |
| 3075F |
|
1,384 |
945 |
$1K |
| 3080F |
|
1,079 |
739 |
$870.00 |
| 3044F |
|
891 |
632 |
$590.00 |
| 3046F |
|
787 |
555 |
$590.00 |
| 96160 |
|
32,543 |
22,500 |
$301.38 |
| 3052F |
|
746 |
505 |
$280.00 |
| 3051F |
|
754 |
508 |
$280.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,581 |
6,910 |
$109.78 |
| 1160F |
|
37,295 |
25,194 |
$97.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,671 |
2,562 |
$81.87 |
| 3045F |
|
50 |
41 |
$80.00 |
| 4000F |
|
2,068 |
1,512 |
$0.00 |
| 96127 |
|
10,668 |
7,162 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
24,731 |
17,098 |
$0.00 |
| 1036F |
|
5,672 |
3,035 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,454 |
2,744 |
$0.00 |
| 1111F |
|
6,657 |
5,201 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,168 |
21,767 |
$0.00 |
| 1034F |
|
1,045 |
470 |
$0.00 |
| 3008F |
|
5,672 |
3,498 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
389 |
238 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
858 |
666 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
873 |
675 |
$0.00 |
| 82962 |
|
645 |
474 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
751 |
591 |
$0.00 |
| 90688 |
|
107 |
84 |
$0.00 |
| 99406 |
|
285 |
181 |
$0.00 |
| 84479 |
|
172 |
132 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
950 |
446 |
$0.00 |
| 92551 |
|
51 |
50 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
134 |
94 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
105 |
63 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
148 |
111 |
$0.00 |
| 87340 |
|
37 |
27 |
$0.00 |
| 86592 |
|
51 |
37 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
15 |
13 |
$0.00 |
| 85018 |
|
33 |
31 |
$0.00 |
| 84436 |
|
12 |
12 |
$0.00 |
| 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 |
30 |
27 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
17 |
$0.00 |
| 86803 |
|
16 |
14 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
45 |
39 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
29 |
$0.00 |
| 90686 |
|
41 |
38 |
$0.00 |
| 90656 |
|
51 |
39 |
$0.00 |
| 87276 |
|
24 |
16 |
$0.00 |
| 1159F |
|
38,967 |
26,435 |
$0.00 |
| 3725F |
|
8,185 |
4,535 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
18 |
18 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
6,156 |
3,525 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
202 |
198 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
720 |
503 |
$0.00 |
| 99408 |
|
3,215 |
2,103 |
$0.00 |
| 84439 |
|
152 |
109 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
466 |
306 |
$0.00 |
| 11721 |
|
893 |
701 |
$0.00 |
| 99173 |
|
208 |
196 |
$0.00 |
| 97803 |
|
512 |
434 |
$0.00 |
| 81025 |
|
339 |
284 |
$0.00 |
| 81003 |
|
167 |
139 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
50 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
134 |
111 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
50 |
$0.00 |
| 80061 |
Lipid panel |
477 |
366 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
160 |
104 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
165 |
141 |
$0.00 |
| 90461 |
|
36 |
36 |
$0.00 |
| 87275 |
|
59 |
48 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
73 |
70 |
$0.00 |
| 2028F |
|
15 |
14 |
$0.00 |