| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
40,892 |
22,072 |
$3.12M |
| 90837 |
Psychotherapy, 53 minutes with patient |
12,521 |
5,484 |
$407K |
| 90834 |
Psychotherapy, 45 minutes with patient |
11,163 |
5,111 |
$284K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,030 |
4,130 |
$215K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,663 |
3,241 |
$151K |
| 90791 |
Psychiatric diagnostic evaluation |
2,708 |
1,559 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,678 |
2,280 |
$87K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
13 |
13 |
$15K |
| 99215 |
Prolong outpt/office vis |
263 |
153 |
$12K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
366 |
192 |
$11K |
| 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 |
873 |
557 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
542 |
327 |
$7K |
| 80305 |
|
411 |
255 |
$1K |
| T2003 |
Non-emergency transportation; encounter/trip |
2,967 |
1,113 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
85 |
58 |
$957.32 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
13 |
$881.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
27 |
$383.78 |
| D1120 |
Prophylaxis - child |
40 |
38 |
$0.00 |
| D1110 |
Prophylaxis - adult |
75 |
66 |
$0.00 |
| 4004F |
|
116 |
67 |
$0.00 |
| D0330 |
Panoramic radiographic image |
305 |
267 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
22 |
21 |
$0.00 |
| 3078F |
|
17 |
12 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
71 |
64 |
$0.00 |
| D1354 |
|
32 |
12 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
294 |
260 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
38 |
34 |
$0.00 |
| 3008F |
|
207 |
117 |
$0.00 |
| 3079F |
|
18 |
12 |
$0.00 |
| 3074F |
|
45 |
29 |
$0.00 |