| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
93,919 |
43,782 |
$5.86M |
| H2020 |
Therapeutic behavioral services, per diem |
303 |
155 |
$16K |
| 99051 |
|
188 |
156 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,231 |
22,947 |
$49.84 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
391 |
336 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,271 |
953 |
$0.00 |
| 96158 |
|
6,397 |
1,619 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
141 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
292 |
180 |
$0.00 |
| 96152 |
|
455 |
330 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
601 |
451 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
459 |
374 |
$0.00 |
| 81025 |
|
102 |
65 |
$0.00 |
| 81002 |
|
190 |
131 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
26 |
17 |
$0.00 |
| 99491 |
Ccm add 20min |
2,081 |
1,339 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
309 |
293 |
$0.00 |
| 80305 |
|
135 |
50 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
10,375 |
6,120 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,207 |
15,487 |
$0.00 |
| V5008 |
Hearing screening |
508 |
394 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12,819 |
3,629 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
296 |
228 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,266 |
477 |
$0.00 |
| 99437 |
|
313 |
293 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
119 |
51 |
$0.00 |
| 85018 |
|
13 |
12 |
$0.00 |