| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,616 |
13,782 |
$2.20M |
| H2020 |
Therapeutic behavioral services, per diem |
8,570 |
2,749 |
$526K |
| 0002A |
|
35 |
24 |
$372.48 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,477 |
533 |
$152.13 |
| 3044F |
|
621 |
468 |
$40.00 |
| 3045F |
|
16 |
13 |
$10.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,448 |
545 |
$0.00 |
| 87275 |
|
20 |
17 |
$0.00 |
| 1160F |
|
18,407 |
11,923 |
$0.00 |
| 3725F |
|
6,722 |
3,675 |
$0.00 |
| 96160 |
|
12,517 |
8,285 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
123 |
106 |
$0.00 |
| 1159F |
|
17,983 |
11,642 |
$0.00 |
| 3078F |
|
9,091 |
6,826 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
235 |
71 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
217 |
158 |
$0.00 |
| 3077F |
|
1,122 |
806 |
$0.00 |
| 99408 |
|
748 |
545 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
50 |
$0.00 |
| 80061 |
Lipid panel |
203 |
133 |
$0.00 |
| 91300 |
|
79 |
62 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
20 |
14 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
72 |
43 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
12 |
$0.00 |
| 82570 |
|
20 |
20 |
$0.00 |
| 3079F |
|
3,605 |
2,708 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,821 |
3,602 |
$0.00 |
| 3075F |
|
2,026 |
1,529 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,703 |
9,448 |
$0.00 |
| 1036F |
|
5,250 |
3,111 |
$0.00 |
| 3008F |
|
4,885 |
3,344 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,434 |
616 |
$0.00 |
| 96127 |
|
4,062 |
2,237 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,164 |
2,719 |
$0.00 |
| 3074F |
|
9,748 |
7,311 |
$0.00 |
| 82962 |
|
477 |
355 |
$0.00 |
| 1126F |
|
517 |
345 |
$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 |
413 |
297 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
698 |
525 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
210 |
190 |
$0.00 |
| 90686 |
|
67 |
60 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
136 |
96 |
$0.00 |
| 3080F |
|
391 |
284 |
$0.00 |
| 90688 |
|
109 |
99 |
$0.00 |
| 1111F |
|
260 |
178 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
271 |
182 |
$0.00 |
| 1034F |
|
571 |
429 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
176 |
127 |
$0.00 |
| 86803 |
|
131 |
97 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
263 |
169 |
$0.00 |
| 4000F |
|
95 |
75 |
$0.00 |
| 99406 |
|
100 |
72 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
97 |
93 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
51 |
13 |
$0.00 |
| 82043 |
|
20 |
20 |
$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) |
17 |
17 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
72 |
13 |
$0.00 |