| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
96,508 |
61,495 |
$10.00M |
| H2020 |
Therapeutic behavioral services, per diem |
57,740 |
29,136 |
$5.19M |
| 98960 |
|
89 |
25 |
$1K |
| 3044F |
|
4,038 |
2,914 |
$720.00 |
| 96160 |
|
69,007 |
45,029 |
$600.00 |
| 1159F |
|
90,383 |
53,638 |
$320.70 |
| 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 |
1,435 |
727 |
$243.00 |
| 99408 |
|
16,150 |
10,893 |
$160.35 |
| 3725F |
|
31,941 |
18,662 |
$160.35 |
| 1160F |
|
90,324 |
53,680 |
$149.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,468 |
38,703 |
$139.32 |
| 3046F |
|
167 |
114 |
$130.00 |
| 3045F |
|
112 |
81 |
$120.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,522 |
4,541 |
$115.83 |
| 3051F |
|
90 |
46 |
$30.00 |
| 3052F |
|
108 |
55 |
$30.00 |
| 3078F |
|
32,252 |
21,604 |
$5.00 |
| 3075F |
|
10,402 |
7,104 |
$5.00 |
| 3074F |
|
38,425 |
25,551 |
$4.10 |
| 3079F |
|
20,176 |
13,578 |
$4.10 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,261 |
730 |
$0.02 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,571 |
19,293 |
$0.02 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
28,847 |
17,253 |
$0.00 |
| 11721 |
|
862 |
668 |
$0.00 |
| 82274 |
|
34 |
33 |
$0.00 |
| 3077F |
|
12,311 |
8,346 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,250 |
2,373 |
$0.00 |
| 90461 |
|
1,868 |
1,329 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,442 |
2,561 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,740 |
3,138 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,000 |
833 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,396 |
988 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,806 |
612 |
$0.00 |
| 90685 |
|
124 |
106 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
1,053 |
547 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,623 |
1,081 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
863 |
575 |
$0.00 |
| 90633 |
|
369 |
293 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,686 |
2,011 |
$0.00 |
| 81003 |
|
879 |
615 |
$0.00 |
| 90715 |
|
553 |
320 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,041 |
858 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
646 |
352 |
$0.00 |
| 99173 |
|
2,233 |
1,861 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
684 |
490 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,254 |
437 |
$0.00 |
| 90671 |
|
41 |
24 |
$0.00 |
| 90670 |
|
262 |
162 |
$0.00 |
| 90734 |
|
142 |
103 |
$0.00 |
| 80061 |
Lipid panel |
208 |
136 |
$0.00 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
30 |
17 |
$0.00 |
| 87275 |
|
48 |
34 |
$0.00 |
| 81025 |
|
15 |
14 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
55 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
20 |
$0.00 |
| 84439 |
|
71 |
34 |
$0.00 |
| 3080F |
|
8,725 |
5,860 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
75,815 |
46,913 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
5,044 |
3,379 |
$0.00 |
| 99386 |
|
1,027 |
687 |
$0.00 |
| 82962 |
|
4,264 |
3,381 |
$0.00 |
| 96127 |
|
43,899 |
26,272 |
$0.00 |
| 3008F |
|
32,642 |
20,202 |
$0.00 |
| 92551 |
|
804 |
708 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,533 |
3,079 |
$0.00 |
| 1036F |
|
23,049 |
13,271 |
$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 |
656 |
500 |
$0.00 |
| 90619 |
|
82 |
39 |
$0.00 |
| 90688 |
|
246 |
219 |
$0.00 |
| 1034F |
|
9,114 |
5,482 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
1,049 |
528 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,963 |
1,980 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
408 |
166 |
$0.00 |
| 90651 |
|
479 |
333 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
870 |
571 |
$0.00 |
| 85018 |
|
1,908 |
1,469 |
$0.00 |
| 81005 |
|
219 |
140 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
199 |
155 |
$0.00 |
| 90620 |
|
131 |
64 |
$0.00 |
| 1035F |
|
876 |
486 |
$0.00 |
| 1111F |
|
41 |
29 |
$0.00 |
| 99385 |
|
1,473 |
903 |
$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) |
337 |
140 |
$0.00 |
| 99406 |
|
889 |
355 |
$0.00 |
| 90680 |
|
38 |
25 |
$0.00 |
| 4000F |
|
935 |
403 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,513 |
543 |
$0.00 |
| 87276 |
|
23 |
17 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
153 |
115 |
$0.00 |
| 90656 |
|
122 |
88 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
97 |
92 |
$0.00 |
| 90667 |
|
46 |
29 |
$0.00 |
| 86803 |
|
91 |
86 |
$0.00 |
| 92283 |
|
311 |
292 |
$0.00 |
| 82607 |
|
38 |
16 |
$0.00 |
| 90686 |
|
252 |
216 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
198 |
154 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
94 |
51 |
$0.00 |
| 00000 |
|
15 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
27 |
$0.00 |
| 87340 |
|
25 |
15 |
$0.00 |
| 82728 |
|
47 |
22 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
24 |
17 |
$0.00 |
| 86308 |
|
63 |
29 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 83550 |
|
54 |
24 |
$0.00 |
| 90697 |
|
37 |
27 |
$0.00 |
| 84479 |
|
14 |
14 |
$0.00 |