| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
25,158 |
16,681 |
$2.59M |
| H2020 |
Therapeutic behavioral services, per diem |
3,032 |
1,320 |
$273K |
| 98960 |
|
213 |
83 |
$721.37 |
| 3044F |
|
811 |
472 |
$290.00 |
| 99051 |
|
264 |
133 |
$198.94 |
| 0001A |
|
12 |
12 |
$186.24 |
| 3725F |
|
2,982 |
2,132 |
$181.47 |
| 96160 |
|
15,564 |
10,896 |
$150.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15,529 |
10,424 |
$97.18 |
| 3078F |
|
9,377 |
6,732 |
$5.00 |
| 96127 |
|
8,337 |
5,340 |
$0.00 |
| 3074F |
|
9,734 |
7,012 |
$0.00 |
| 3079F |
|
3,296 |
2,411 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,771 |
13,094 |
$0.00 |
| 4000F |
|
1,888 |
844 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
536 |
392 |
$0.00 |
| 3008F |
|
3,802 |
2,719 |
$0.00 |
| 3075F |
|
1,575 |
1,170 |
$0.00 |
| 1111F |
|
14,081 |
9,546 |
$0.00 |
| 1034F |
|
290 |
198 |
$0.00 |
| 82962 |
|
843 |
662 |
$0.00 |
| 1036F |
|
2,937 |
2,034 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,640 |
1,937 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,883 |
2,546 |
$0.00 |
| 1126F |
|
1,331 |
984 |
$0.00 |
| 3066F |
|
62 |
44 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
650 |
344 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
961 |
728 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
812 |
330 |
$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 |
4,613 |
3,990 |
$0.00 |
| 3080F |
|
550 |
396 |
$0.00 |
| 1125F |
|
49 |
36 |
$0.00 |
| 90688 |
|
327 |
226 |
$0.00 |
| 82043 |
|
12 |
12 |
$0.00 |
| 3061F |
|
14 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
13 |
$0.00 |
| 3072F |
|
40 |
31 |
$0.00 |
| 00000 |
|
38 |
34 |
$0.00 |
| 90686 |
|
31 |
29 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
139 |
120 |
$0.00 |
| 1159F |
|
17,948 |
12,098 |
$0.00 |
| 99336 |
|
469 |
426 |
$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 |
2,254 |
1,973 |
$0.00 |
| 1160F |
|
16,933 |
11,273 |
$0.00 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
114 |
99 |
$0.00 |
| 3077F |
|
1,644 |
1,145 |
$0.00 |
| 99408 |
|
1,757 |
1,242 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
572 |
381 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
165 |
77 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,427 |
1,119 |
$0.00 |
| 2028F |
|
19 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
103 |
$0.00 |
| 81003 |
|
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
125 |
85 |
$0.00 |
| 3288F |
|
252 |
204 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
75 |
74 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
207 |
122 |
$0.00 |
| 99347 |
|
33 |
27 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
30 |
$0.00 |
| 1100F |
|
252 |
204 |
$0.00 |
| 0521F |
|
254 |
173 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
31 |
$0.00 |
| 91300 |
|
18 |
15 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
22 |
13 |
$0.00 |