| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,374 |
8,493 |
$1.32M |
| H2020 |
Therapeutic behavioral services, per diem |
710 |
514 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,902 |
5,343 |
$33.22 |
| 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 |
375 |
362 |
$0.00 |
| 3078F |
|
204 |
147 |
$0.00 |
| 11721 |
|
369 |
261 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
83 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
16 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,737 |
2,972 |
$0.00 |
| 1125F |
|
47 |
37 |
$0.00 |
| 3008F |
|
361 |
265 |
$0.00 |
| 1036F |
|
142 |
91 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
882 |
321 |
$0.00 |
| 1126F |
|
223 |
167 |
$0.00 |
| 3074F |
|
244 |
178 |
$0.00 |
| 99304 |
|
30 |
21 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$0.00 |