| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2020 |
Therapeutic behavioral services, per diem |
72,610 |
30,540 |
$5.01M |
| T1015 |
Clinic visit/encounter, all-inclusive |
35,565 |
20,430 |
$2.96M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,790 |
18,336 |
$4K |
| 99406 |
|
8,402 |
4,874 |
$185.93 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,579 |
14,123 |
$149.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,417 |
1,087 |
$67.40 |
| 3074F |
|
145 |
61 |
$15.00 |
| 3078F |
|
82 |
34 |
$15.00 |
| 90791 |
Psychiatric diagnostic evaluation |
1,472 |
1,030 |
$0.02 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,861 |
1,116 |
$0.00 |
| 3008F |
|
712 |
483 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
442 |
282 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
318 |
215 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
104 |
30 |
$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 |
1,551 |
1,399 |
$0.00 |
| 3048F |
|
18 |
13 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
130 |
84 |
$0.00 |
| 90686 |
|
19 |
15 |
$0.00 |
| 82962 |
|
14 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
33 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$0.00 |
| 4060F |
|
156 |
62 |
$0.00 |
| 3044F |
|
99 |
44 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
27 |
27 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
14 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
23 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
1,643 |
1,301 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,239 |
631 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
42 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
47 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
10,467 |
2,423 |
$0.00 |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
21 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
24 |
$0.00 |
| 90658 |
|
21 |
21 |
$0.00 |
| 80061 |
Lipid panel |
27 |
27 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
23 |
12 |
$0.00 |