| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
28,706 |
21,720 |
$3.36M |
| H2020 |
Therapeutic behavioral services, per diem |
20,266 |
10,058 |
$1.48M |
| D0999 |
Unspecified diagnostic procedure, by report |
178 |
150 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,816 |
4,686 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
329 |
212 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,191 |
12,680 |
$490.69 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,221 |
685 |
$388.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,851 |
487 |
$355.00 |
| 3079F |
|
466 |
410 |
$100.00 |
| 36415 |
Collection of venous blood by venipuncture |
5,499 |
4,673 |
$98.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,502 |
2,740 |
$59.18 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
202 |
153 |
$49.74 |
| 3077F |
|
215 |
185 |
$40.00 |
| 3075F |
|
76 |
72 |
$35.00 |
| 3078F |
|
56 |
51 |
$15.00 |
| 3074F |
|
172 |
153 |
$15.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
311 |
264 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,544 |
1,532 |
$0.00 |
| 1159F |
|
559 |
465 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
103 |
62 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
624 |
388 |
$0.00 |
| 99173 |
|
168 |
150 |
$0.00 |
| 80305 |
|
1,749 |
666 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
1,809 |
1,308 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
31 |
26 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
267 |
190 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
87 |
83 |
$0.00 |
| 81025 |
|
80 |
70 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
242 |
193 |
$0.00 |
| 81003 |
|
484 |
313 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |
| 3288F |
|
28 |
28 |
$0.00 |
| 90685 |
|
16 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
22 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$0.00 |
| 99442 |
|
13 |
12 |
$0.00 |
| 2001F |
|
6,124 |
4,894 |
$0.00 |
| 1111F |
|
3,662 |
2,577 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,498 |
1,961 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
557 |
475 |
$0.00 |
| 1126F |
|
1,165 |
947 |
$0.00 |
| 1036F |
|
2,473 |
1,801 |
$0.00 |
| 3008F |
|
5,835 |
4,672 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,638 |
653 |
$0.00 |
| 92551 |
|
204 |
184 |
$0.00 |
| 1125F |
|
477 |
391 |
$0.00 |
| 1034F |
|
1,157 |
923 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
86 |
61 |
$0.00 |
| 93000 |
|
40 |
39 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
27 |
$0.00 |
| 99174 |
|
86 |
75 |
$0.00 |
| 85018 |
|
426 |
292 |
$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 |
77 |
55 |
$0.00 |
| 90686 |
|
266 |
236 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
80 |
67 |
$0.00 |
| 0012A |
|
23 |
14 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$0.00 |
| 87428 |
|
97 |
69 |
$0.00 |
| 1101F |
|
27 |
27 |
$0.00 |
| 3080F |
|
42 |
39 |
$0.00 |
| 0011A |
|
32 |
18 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
22 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
38 |
$0.00 |
| 3048F |
|
23 |
19 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$0.00 |
| 36416 |
|
26 |
21 |
$0.00 |