| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
13,908 |
8,992 |
$1.49M |
| H2020 |
Therapeutic behavioral services, per diem |
5,158 |
2,366 |
$401K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
10,487 |
6,641 |
$160.35 |
| 99408 |
|
5,572 |
3,621 |
$160.35 |
| 96160 |
|
9,525 |
6,570 |
$160.35 |
| 1159F |
|
12,160 |
7,841 |
$160.35 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,394 |
6,344 |
$157.06 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
246 |
158 |
$49.74 |
| 3044F |
|
183 |
133 |
$10.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,368 |
1,186 |
$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 |
364 |
331 |
$0.00 |
| 4000F |
|
2,024 |
984 |
$0.00 |
| 3079F |
|
2,504 |
1,894 |
$0.00 |
| 96127 |
|
6,141 |
3,789 |
$0.00 |
| 1111F |
|
7,614 |
4,962 |
$0.00 |
| 3074F |
|
4,749 |
3,440 |
$0.00 |
| 99406 |
|
598 |
410 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
322 |
261 |
$0.00 |
| 3008F |
|
818 |
615 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,368 |
2,327 |
$0.00 |
| 3075F |
|
611 |
462 |
$0.00 |
| 3080F |
|
526 |
398 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
56 |
$0.00 |
| 1034F |
|
333 |
207 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
381 |
149 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
30 |
27 |
$0.00 |
| 82962 |
|
80 |
66 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
29 |
$0.00 |
| 1036F |
|
690 |
442 |
$0.00 |
| 90688 |
|
58 |
40 |
$0.00 |
| 1035F |
|
19 |
12 |
$0.00 |
| 1160F |
|
12,294 |
7,947 |
$0.00 |
| 3725F |
|
998 |
655 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
3,127 |
2,029 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
310 |
195 |
$0.00 |
| 3077F |
|
1,162 |
862 |
$0.00 |
| 3078F |
|
3,610 |
2,601 |
$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 |
1,017 |
937 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
291 |
160 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
710 |
507 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
53 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
24 |
12 |
$0.00 |
| 0521F |
|
414 |
319 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
27 |
$0.00 |