| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comp comm supp svc, 15 min |
9,019 |
3,765 |
$1.58M |
| 99213 |
|
10,525 |
8,739 |
$1.56M |
| 90834 |
|
7,373 |
5,129 |
$1.30M |
| 99214 |
|
8,384 |
7,296 |
$1.22M |
| H2017 |
Psysoc rehab svc, per 15 min |
3,762 |
1,179 |
$633K |
| 99212 |
|
2,372 |
2,248 |
$372K |
| 90837 |
|
2,011 |
1,461 |
$347K |
| 90832 |
|
1,316 |
1,106 |
$233K |
| 90853 |
|
1,285 |
553 |
$226K |
| 90791 |
|
947 |
939 |
$165K |
| Q3014 |
Telehealth facility fee |
1,973 |
1,318 |
$120K |
| 99441 |
|
706 |
636 |
$119K |
| 99442 |
|
447 |
400 |
$75K |
| G0467 |
Fqhc visit, estab pt |
2,643 |
1,850 |
$69K |
| 99215 |
Prolong outpt/office vis |
334 |
301 |
$40K |
| 0011A |
|
180 |
171 |
$28K |
| 0012A |
|
173 |
168 |
$26K |
| H2011 |
Crisis interven svc, 15 min |
138 |
117 |
$23K |
| 99443 |
|
130 |
112 |
$22K |
| 91300 |
|
101 |
95 |
$16K |
| 90847 |
|
61 |
37 |
$12K |
| G2025 |
Dis site tele svcs rhc/fqhc |
263 |
196 |
$10K |
| 0001A |
|
72 |
69 |
$5K |
| H0049 |
Alcohol/drug screening |
127 |
118 |
$3K |
| 99394 |
|
16 |
16 |
$3K |
| 90792 |
|
14 |
14 |
$3K |
| 0002A |
|
66 |
65 |
$2K |
| 0031A |
|
19 |
17 |
$2K |
| 99211 |
|
12 |
12 |
$2K |
| 99204 |
|
13 |
13 |
$2K |
| 0072A |
|
13 |
13 |
$2K |
| G0480 |
Drug test def 1-7 classes |
1,301 |
922 |
$941.99 |
| 87428 |
|
167 |
164 |
$933.75 |
| 0013A |
|
15 |
14 |
$898.10 |
| 90471 |
|
630 |
620 |
$442.70 |
| 80061 |
|
205 |
204 |
$366.78 |
| 36415 |
|
1,196 |
1,168 |
$336.92 |
| 90686 |
|
300 |
298 |
$239.16 |
| 85025 |
|
397 |
393 |
$183.39 |
| 90715 |
|
29 |
29 |
$4.94 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
13 |
13 |
$4.37 |
| 83036 |
|
440 |
437 |
$0.00 |
| 80053 |
|
583 |
574 |
$0.00 |
| H0048 |
Spec coll non-blood:a/d test |
409 |
322 |
$0.00 |
| 81001 |
|
28 |
28 |
$0.00 |
| 84443 |
|
93 |
90 |
$0.00 |
| 86803 |
|
36 |
36 |
$0.00 |
| 91301 |
|
16 |
16 |
$0.00 |
| 90688 |
|
168 |
168 |
$0.00 |
| 82306 |
|
24 |
24 |
$0.00 |
| 87880 |
|
113 |
111 |
$0.00 |
| 90472 |
|
20 |
19 |
$0.00 |
| 86703 |
|
61 |
60 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 80307 |
|
72 |
58 |
$0.00 |
| 80306 |
|
19 |
16 |
$0.00 |
| 84439 |
|
18 |
17 |
$0.00 |
| 80305 |
|
19 |
16 |
$0.00 |