| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,463 |
20,104 |
$3.25M |
| H2020 |
Therapeutic behavioral services, per diem |
16,601 |
6,806 |
$1.45M |
| 96160 |
|
20,897 |
14,775 |
$630.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
22,482 |
14,983 |
$407.07 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,800 |
14,521 |
$179.00 |
| 1159F |
|
26,511 |
18,208 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
10,039 |
6,883 |
$0.00 |
| 3077F |
|
4,064 |
3,024 |
$0.00 |
| 1160F |
|
26,394 |
18,115 |
$0.00 |
| 99408 |
|
3,217 |
2,399 |
$0.00 |
| 3078F |
|
9,197 |
6,866 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,098 |
476 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
329 |
281 |
$0.00 |
| 3725F |
|
5,051 |
3,719 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,996 |
910 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
108 |
42 |
$0.00 |
| 99173 |
|
34 |
32 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
773 |
572 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
539 |
386 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
686 |
478 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
181 |
144 |
$0.00 |
| 84439 |
|
149 |
111 |
$0.00 |
| 81003 |
|
110 |
101 |
$0.00 |
| 80061 |
Lipid panel |
27 |
26 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
201 |
67 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
53 |
53 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
22 |
18 |
$0.00 |
| 87275 |
|
19 |
12 |
$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 |
36 |
12 |
$0.00 |
| 81025 |
|
28 |
19 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23 |
18 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,995 |
2,316 |
$0.00 |
| 1111F |
|
11,893 |
8,471 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,151 |
4,162 |
$0.00 |
| 3074F |
|
10,151 |
7,503 |
$0.00 |
| 3079F |
|
4,617 |
3,609 |
$0.00 |
| 3075F |
|
2,499 |
1,946 |
$0.00 |
| 1125F |
|
169 |
146 |
$0.00 |
| 3080F |
|
3,042 |
2,250 |
$0.00 |
| 82962 |
|
728 |
548 |
$0.00 |
| 96127 |
|
11,126 |
7,346 |
$0.00 |
| 3008F |
|
5,221 |
3,846 |
$0.00 |
| 99385 |
|
533 |
365 |
$0.00 |
| 1036F |
|
4,040 |
2,879 |
$0.00 |
| 1034F |
|
919 |
663 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
522 |
418 |
$0.00 |
| 99386 |
|
37 |
29 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,628 |
571 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
194 |
140 |
$0.00 |
| 4000F |
|
748 |
581 |
$0.00 |
| 1126F |
|
709 |
579 |
$0.00 |
| 3044F |
|
558 |
362 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
235 |
149 |
$0.00 |
| 90688 |
|
30 |
25 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
247 |
178 |
$0.00 |
| 86803 |
|
214 |
131 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
260 |
128 |
$0.00 |
| 87340 |
|
212 |
128 |
$0.00 |
| 92551 |
|
36 |
34 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
25 |
13 |
$0.00 |
| 99406 |
|
212 |
127 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
46 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$0.00 |
| 85018 |
|
32 |
31 |
$0.00 |