| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
104,808 |
97,017 |
$11.99M |
| H0043 |
Supported housing, per diem |
2,408 |
2,405 |
$910K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67,304 |
63,089 |
$388K |
| G9012 |
Other specified case management service not elsewhere classified |
1,689 |
1,570 |
$326K |
| H0044 |
Supported housing, per month |
82 |
80 |
$314K |
| 92250 |
|
2,816 |
2,809 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,004 |
8,516 |
$85K |
| 90686 |
|
2,862 |
2,841 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,046 |
3,017 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
668 |
668 |
$23K |
| 0002A |
|
395 |
201 |
$20K |
| 90832 |
Psychotherapy, 30 minutes with patient |
259 |
236 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,852 |
4,725 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
342 |
340 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,759 |
2,610 |
$12K |
| 90732 |
|
165 |
165 |
$11K |
| 90715 |
|
358 |
356 |
$9K |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
14 |
14 |
$8K |
| H2016 |
Comprehensive community support services, per diem |
26 |
26 |
$6K |
| 0001A |
|
118 |
61 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
35 |
33 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
47 |
45 |
$4K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
466 |
425 |
$3K |
| 0003A |
|
45 |
41 |
$2K |
| 90670 |
|
64 |
59 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
40 |
$1K |
| 90723 |
|
47 |
44 |
$1K |
| 81002 |
|
317 |
295 |
$731.43 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$538.44 |
| 90680 |
|
19 |
18 |
$498.90 |
| 99386 |
|
53 |
53 |
$403.30 |
| 90734 |
|
12 |
12 |
$360.00 |
| 99173 |
|
83 |
83 |
$327.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$270.00 |
| 92551 |
|
80 |
80 |
$253.83 |
| 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 |
17 |
15 |
$219.30 |
| 81025 |
|
157 |
153 |
$173.60 |
| 99385 |
|
41 |
41 |
$143.77 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
54 |
54 |
$113.20 |
| 1159F |
|
69 |
65 |
$0.00 |
| 3078F |
|
110 |
110 |
$0.00 |
| 3074F |
|
66 |
66 |
$0.00 |
| 2023F |
|
27 |
27 |
$0.00 |
| 2010F |
|
12 |
12 |
$0.00 |
| 3008F |
|
66 |
66 |
$0.00 |