| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,826 |
21,537 |
$3.34M |
| H2020 |
Therapeutic behavioral services, per diem |
4,814 |
2,485 |
$352K |
| 98960 |
|
817 |
206 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,110 |
10,331 |
$477.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,503 |
3,772 |
$372.42 |
| 3044F |
|
182 |
118 |
$180.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,884 |
1,761 |
$18.28 |
| 83037 |
|
1,737 |
1,070 |
$0.02 |
| 82962 |
|
1,525 |
1,058 |
$0.02 |
| 92551 |
|
1,872 |
1,085 |
$0.02 |
| 3078F |
|
1,191 |
713 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,894 |
898 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
273 |
181 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
753 |
566 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
85 |
62 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
101 |
78 |
$0.00 |
| 81002 |
|
1,117 |
741 |
$0.00 |
| 99173 |
|
1,675 |
916 |
$0.00 |
| 1160F |
|
5,959 |
3,865 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
774 |
452 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
982 |
617 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,118 |
1,348 |
$0.00 |
| 4004F |
|
260 |
212 |
$0.00 |
| 3077F |
|
468 |
271 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
135 |
103 |
$0.00 |
| 96160 |
|
68 |
48 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
38 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
207 |
152 |
$0.00 |
| 83655 |
|
62 |
53 |
$0.00 |
| 90658 |
|
144 |
99 |
$0.00 |
| 90649 |
|
20 |
12 |
$0.00 |
| 90734 |
|
52 |
39 |
$0.00 |
| 90671 |
|
66 |
47 |
$0.00 |
| 90653 |
|
54 |
39 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
24 |
13 |
$0.00 |
| 1159F |
|
138 |
99 |
$0.00 |
| 97803 |
|
123 |
61 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |
| 86703 |
|
15 |
13 |
$0.00 |
| 90670 |
|
102 |
92 |
$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 |
35 |
25 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90655 |
|
18 |
13 |
$0.00 |
| 99382 |
|
15 |
13 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$0.00 |
| 3008F |
|
9,713 |
6,474 |
$0.00 |
| 3074F |
|
1,516 |
935 |
$0.00 |
| 3351F |
|
2,175 |
1,427 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,792 |
3,197 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
453 |
305 |
$0.00 |
| 1036F |
|
1,818 |
1,190 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
360 |
240 |
$0.00 |
| 81099 |
|
417 |
221 |
$0.00 |
| 99385 |
|
136 |
87 |
$0.00 |
| 3075F |
|
421 |
264 |
$0.00 |
| 1034F |
|
771 |
500 |
$0.00 |
| 3079F |
|
914 |
584 |
$0.00 |
| 85018 |
|
3,336 |
1,895 |
$0.00 |
| 90688 |
|
778 |
558 |
$0.00 |
| 90686 |
|
509 |
395 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
74 |
48 |
$0.00 |
| 4037F |
|
1,106 |
796 |
$0.00 |
| 90677 |
|
15 |
12 |
$0.00 |
| 36416 |
|
68 |
58 |
$0.00 |
| 3080F |
|
237 |
126 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
110 |
85 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
625 |
413 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
255 |
163 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
321 |
242 |
$0.00 |
| 90620 |
|
19 |
12 |
$0.00 |
| 2000F |
|
17 |
12 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
252 |
142 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
214 |
133 |
$0.00 |
| 90697 |
|
50 |
30 |
$0.00 |
| 97804 |
|
122 |
60 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15 |
13 |
$0.00 |
| 90656 |
|
361 |
294 |
$0.00 |
| 99383 |
|
69 |
68 |
$0.00 |
| 99386 |
|
34 |
29 |
$0.00 |
| 90651 |
|
155 |
111 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
133 |
92 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
12 |
$0.00 |
| 90474 |
|
20 |
14 |
$0.00 |
| 97802 |
|
122 |
60 |
$0.00 |
| 90680 |
|
21 |
15 |
$0.00 |
| 90619 |
|
13 |
12 |
$0.00 |
| 87430 |
|
15 |
13 |
$0.00 |
| 99384 |
|
16 |
14 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
16 |
12 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
12 |
$0.00 |
| 3352F |
|
19 |
14 |
$0.00 |