| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,055 |
14,598 |
$2.67M |
| H2020 |
Therapeutic behavioral services, per diem |
4,471 |
1,995 |
$421K |
| D0999 |
Unspecified diagnostic procedure, by report |
255 |
138 |
$857.22 |
| 3077F |
|
454 |
366 |
$125.00 |
| 3079F |
|
546 |
467 |
$60.00 |
| 3074F |
|
303 |
263 |
$50.00 |
| 3044F |
|
92 |
86 |
$50.00 |
| 3080F |
|
83 |
56 |
$40.00 |
| 3078F |
|
198 |
165 |
$30.00 |
| 3075F |
|
41 |
38 |
$10.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
507 |
116 |
$0.03 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,857 |
4,069 |
$0.02 |
| 1160F |
|
168 |
102 |
$0.00 |
| 99173 |
|
970 |
722 |
$0.00 |
| 3725F |
|
645 |
432 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
940 |
587 |
$0.00 |
| 11721 |
|
25 |
25 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,638 |
1,171 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
116 |
110 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
231 |
176 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
422 |
391 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$0.00 |
| 82947 |
|
115 |
106 |
$0.00 |
| 90715 |
|
38 |
36 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
131 |
118 |
$0.00 |
| 99201 |
|
31 |
28 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
39 |
$0.00 |
| 90658 |
|
43 |
41 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$0.00 |
| 80061 |
Lipid panel |
18 |
17 |
$0.00 |
| 90756 |
|
25 |
18 |
$0.00 |
| 3008F |
|
4,547 |
3,754 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
432 |
369 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,179 |
1,049 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,325 |
4,454 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
525 |
418 |
$0.00 |
| 92551 |
|
821 |
624 |
$0.00 |
| 1036F |
|
251 |
163 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
12 |
$0.00 |
| 1126F |
|
22 |
19 |
$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 |
218 |
218 |
$0.00 |
| 81000 |
|
113 |
74 |
$0.00 |
| 0012A |
|
14 |
12 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
18 |
17 |
$0.00 |
| 90686 |
|
97 |
92 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
118 |
107 |
$0.00 |
| 86803 |
|
18 |
17 |
$0.00 |
| 91301 |
|
34 |
28 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
18 |
17 |
$0.00 |
| 0011A |
|
15 |
13 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
17 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
26 |
$0.00 |
| 85018 |
|
224 |
97 |
$0.00 |