| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,698 |
13,576 |
$2.20M |
| H2020 |
Therapeutic behavioral services, per diem |
20,710 |
9,373 |
$1.76M |
| 96160 |
|
18,157 |
12,519 |
$605.26 |
| 3725F |
|
6,195 |
3,864 |
$590.70 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,514 |
4,138 |
$181.16 |
| 3044F |
|
671 |
488 |
$120.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,064 |
11,918 |
$59.80 |
| 3078F |
|
5,574 |
4,538 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
234 |
109 |
$0.00 |
| 1159F |
|
13,974 |
10,080 |
$0.00 |
| 99408 |
|
4,698 |
3,576 |
$0.00 |
| 3077F |
|
1,574 |
1,279 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,150 |
1,293 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
73 |
65 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
118 |
99 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,052 |
931 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
520 |
412 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
5,273 |
2,613 |
$0.00 |
| 1160F |
|
14,006 |
10,099 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
483 |
390 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
595 |
382 |
$0.00 |
| 84439 |
|
188 |
142 |
$0.00 |
| 80061 |
Lipid panel |
275 |
181 |
$0.00 |
| 90685 |
|
32 |
15 |
$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 |
65 |
25 |
$0.00 |
| 3075F |
|
1,490 |
1,249 |
$0.00 |
| 3079F |
|
3,115 |
2,524 |
$0.00 |
| 87340 |
|
95 |
66 |
$0.00 |
| 1036F |
|
3,461 |
2,195 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
20,136 |
13,031 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
270 |
204 |
$0.00 |
| 96127 |
|
13,186 |
8,384 |
$0.00 |
| 1111F |
|
1,139 |
1,031 |
$0.00 |
| 86803 |
|
107 |
76 |
$0.00 |
| 3074F |
|
6,730 |
5,361 |
$0.00 |
| 3008F |
|
3,521 |
2,386 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
493 |
262 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
739 |
550 |
$0.00 |
| 3080F |
|
953 |
768 |
$0.00 |
| 82962 |
|
513 |
402 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
341 |
229 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
301 |
96 |
$0.00 |
| 1126F |
|
374 |
283 |
$0.00 |
| 1034F |
|
1,674 |
956 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
354 |
245 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
490 |
426 |
$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 |
171 |
148 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
92 |
65 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
699 |
333 |
$0.00 |
| 99385 |
|
25 |
19 |
$0.00 |
| 90688 |
|
186 |
159 |
$0.00 |
| 99386 |
|
17 |
15 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
14 |
13 |
$0.00 |
| 4000F |
|
16 |
13 |
$0.00 |