| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,584 |
24,756 |
$3.76M |
| H2020 |
Therapeutic behavioral services, per diem |
421 |
270 |
$43K |
| 3074F |
|
2,186 |
1,659 |
$125.00 |
| 3078F |
|
1,508 |
1,148 |
$75.00 |
| 3079F |
|
1,238 |
1,009 |
$60.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,230 |
19,659 |
$38.79 |
| 3080F |
|
117 |
85 |
$20.00 |
| 3075F |
|
535 |
451 |
$15.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,091 |
2,138 |
$10.50 |
| 3077F |
|
128 |
89 |
$5.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,912 |
3,083 |
$2.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,149 |
864 |
$0.00 |
| 99173 |
|
458 |
348 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
55 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,219 |
841 |
$0.00 |
| 81003 |
|
1,077 |
830 |
$0.00 |
| 3725F |
|
534 |
486 |
$0.00 |
| 4004F |
|
326 |
299 |
$0.00 |
| 3288F |
|
274 |
258 |
$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 |
565 |
531 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
60 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
37 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
66 |
63 |
$0.00 |
| 1160F |
|
356 |
325 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
455 |
344 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
103 |
82 |
$0.00 |
| 90658 |
|
68 |
48 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
73 |
71 |
$0.00 |
| 1159F |
|
356 |
325 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
29 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15 |
12 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
43 |
31 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
15 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,251 |
2,514 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,985 |
4,126 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,153 |
2,261 |
$0.00 |
| 1030F |
|
409 |
380 |
$0.00 |
| 3008F |
|
1,681 |
1,332 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
364 |
233 |
$0.00 |
| 2010F |
|
157 |
113 |
$0.00 |
| 2001F |
|
114 |
83 |
$0.00 |
| 92551 |
|
456 |
347 |
$0.00 |
| 3044F |
|
162 |
152 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
158 |
127 |
$0.00 |
| 1126F |
|
91 |
86 |
$0.00 |
| 85018 |
|
70 |
37 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
64 |
35 |
$0.00 |
| 90686 |
|
53 |
35 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
64 |
42 |
$0.00 |
| 3017F |
|
41 |
39 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
13 |
$0.00 |
| 1036F |
|
30 |
22 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
44 |
38 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
26 |
13 |
$0.00 |
| 1034F |
|
21 |
17 |
$0.00 |