| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,865 |
27,118 |
$4.62M |
| H2020 |
Therapeutic behavioral services, per diem |
837 |
262 |
$41K |
| 98960 |
|
60 |
29 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,199 |
14,453 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,954 |
5,726 |
$814.45 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,757 |
2,017 |
$148.98 |
| 3044F |
|
216 |
188 |
$90.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
313 |
244 |
$62.18 |
| 3074F |
|
7,483 |
6,075 |
$10.00 |
| 3078F |
|
5,947 |
4,885 |
$5.00 |
| 3079F |
|
4,400 |
3,635 |
$5.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
195 |
176 |
$3.15 |
| 82962 |
|
597 |
519 |
$2.70 |
| 1160F |
|
6,518 |
5,183 |
$0.00 |
| 3077F |
|
1,691 |
1,370 |
$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 |
811 |
776 |
$0.00 |
| 81025 |
|
1,481 |
1,145 |
$0.00 |
| 1033F |
|
2,567 |
2,011 |
$0.00 |
| 1159F |
|
3,856 |
2,982 |
$0.00 |
| 87210 |
|
284 |
235 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
40 |
$0.00 |
| 90661 |
|
14 |
12 |
$0.00 |
| 81003 |
|
416 |
318 |
$0.00 |
| 30786 |
|
13 |
12 |
$0.00 |
| 90715 |
|
71 |
57 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
40 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,533 |
509 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
14 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
151 |
122 |
$0.00 |
| 83037 |
|
216 |
194 |
$0.00 |
| 99173 |
|
178 |
161 |
$0.00 |
| 1032F |
|
182 |
135 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
19 |
13 |
$0.00 |
| 4004F |
|
28 |
24 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$0.00 |
| 90658 |
|
18 |
18 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
35 |
13 |
$0.00 |
| 30086 |
|
12 |
12 |
$0.00 |
| 1126F |
|
8,669 |
6,936 |
$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 |
803 |
668 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
727 |
368 |
$0.00 |
| 4010F |
|
521 |
416 |
$0.00 |
| 1125F |
|
2,249 |
1,793 |
$0.00 |
| 1031F |
|
1,635 |
1,260 |
$0.00 |
| 1036F |
|
144 |
120 |
$0.00 |
| 3351F |
|
2,974 |
2,334 |
$0.00 |
| 1111F |
|
379 |
326 |
$0.00 |
| 81005 |
|
204 |
158 |
$0.00 |
| 94200 |
|
62 |
51 |
$0.00 |
| 3080F |
|
865 |
720 |
$0.00 |
| 3008F |
|
3,288 |
2,591 |
$0.00 |
| 1170F |
|
48 |
41 |
$0.00 |
| 3075F |
|
1,645 |
1,400 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
91 |
84 |
$0.00 |
| 85018 |
|
192 |
138 |
$0.00 |
| 4000F |
|
144 |
120 |
$0.00 |
| 94760 |
|
19 |
14 |
$0.00 |
| 92551 |
|
80 |
70 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
152 |
137 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
95 |
69 |
$0.00 |
| 90688 |
|
45 |
39 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
27 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
13 |
$0.00 |
| 11596 |
|
12 |
12 |
$0.00 |
| 90674 |
|
13 |
12 |
$0.00 |
| 11606 |
|
12 |
12 |
$0.00 |