| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,263 |
4,184 |
$654K |
| H2020 |
Therapeutic behavioral services, per diem |
98 |
37 |
$5K |
| 99051 |
|
61 |
49 |
$243.44 |
| 3074F |
|
445 |
332 |
$89.31 |
| 3078F |
|
355 |
258 |
$69.32 |
| 3079F |
|
172 |
132 |
$50.00 |
| 3077F |
|
66 |
54 |
$30.00 |
| 3080F |
|
80 |
64 |
$20.00 |
| 1003F |
|
1,020 |
720 |
$0.00 |
| 81003 |
|
923 |
648 |
$0.00 |
| 1158F |
|
658 |
476 |
$0.00 |
| 1160F |
|
550 |
381 |
$0.00 |
| 1159F |
|
771 |
379 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
106 |
52 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
34 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
15 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 2000F |
|
1,056 |
749 |
$0.00 |
| 2001F |
|
1,082 |
766 |
$0.00 |
| 1125F |
|
186 |
137 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,839 |
3,250 |
$0.00 |
| 2010F |
|
1,074 |
765 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
409 |
330 |
$0.00 |
| 90686 |
|
114 |
99 |
$0.00 |
| 1126F |
|
551 |
435 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
599 |
474 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
51 |
$0.00 |
| 3008F |
|
966 |
697 |
$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 |
25 |
24 |
$0.00 |
| 82043 |
|
13 |
12 |
$0.00 |
| 3075F |
|
14 |
12 |
$0.00 |