| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,740 |
14,993 |
$1.91M |
| 90837 |
Psychotherapy, 53 minutes with patient |
13,846 |
5,682 |
$475K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
142 |
103 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,775 |
3,057 |
$108K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,964 |
1,864 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,898 |
1,871 |
$94K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,984 |
1,369 |
$61K |
| 90791 |
Psychiatric diagnostic evaluation |
641 |
388 |
$26K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
883 |
486 |
$22K |
| 99215 |
Prolong outpt/office vis |
577 |
339 |
$17K |
| T2003 |
Non-emergency transportation; encounter/trip |
3,235 |
1,165 |
$10K |
| 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 |
736 |
524 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
464 |
282 |
$7K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
401 |
213 |
$5K |
| 80305 |
|
348 |
238 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
155 |
115 |
$2K |
| 90785 |
|
155 |
66 |
$750.43 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
12 |
$528.42 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$0.00 |
| 3078F |
|
19 |
19 |
$0.00 |
| 4004F |
|
25 |
16 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
14 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
32 |
31 |
$0.00 |
| D1110 |
Prophylaxis - adult |
14 |
13 |
$0.00 |
| 1036F |
|
16 |
16 |
$0.00 |
| 3008F |
|
152 |
112 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
19 |
18 |
$0.00 |
| 3074F |
|
31 |
30 |
$0.00 |