| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,029 |
27,163 |
$4.25M |
| H2020 |
Therapeutic behavioral services, per diem |
5,018 |
2,395 |
$515K |
| 3074F |
|
2,109 |
1,731 |
$490.78 |
| 99213 |
|
27,701 |
20,769 |
$402.90 |
| 3079F |
|
1,261 |
1,082 |
$113.70 |
| 3078F |
|
1,706 |
1,376 |
$95.00 |
| 3077F |
|
673 |
532 |
$85.00 |
| 87880 |
|
8,248 |
6,677 |
$60.40 |
| 3080F |
|
342 |
276 |
$30.00 |
| 87804 |
|
4,888 |
2,193 |
$21.00 |
| 3075F |
|
644 |
558 |
$15.00 |
| 3044F |
|
174 |
162 |
$10.00 |
| 85025 |
|
2,557 |
2,123 |
$6.18 |
| 81003 |
|
1,319 |
1,039 |
$0.00 |
| 80306 |
|
2,647 |
1,919 |
$0.00 |
| 3288F |
|
517 |
440 |
$0.00 |
| 90832 |
|
726 |
423 |
$0.00 |
| 1160F |
|
523 |
442 |
$0.00 |
| 3725F |
|
827 |
727 |
$0.00 |
| 99212 |
|
337 |
260 |
$0.00 |
| 99203 |
|
637 |
539 |
$0.00 |
| 4004F |
|
615 |
530 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
246 |
193 |
$0.00 |
| 99204 |
|
175 |
154 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,261 |
1,081 |
$0.00 |
| 81025 |
|
686 |
555 |
$0.00 |
| 99173 |
|
391 |
308 |
$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 |
487 |
456 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
31 |
24 |
$0.00 |
| 1159F |
|
524 |
443 |
$0.00 |
| 3089F |
|
166 |
55 |
$0.00 |
| 99393 |
|
91 |
70 |
$0.00 |
| 99394 |
|
164 |
128 |
$0.00 |
| 3720F |
|
209 |
161 |
$0.00 |
| 99396 |
|
213 |
197 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
149 |
99 |
$0.00 |
| 93010 |
|
212 |
174 |
$0.00 |
| 90791 |
|
197 |
178 |
$0.00 |
| 99395 |
|
41 |
40 |
$0.00 |
| 90658 |
|
19 |
19 |
$0.00 |
| 90461 |
|
14 |
13 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
12 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
32 |
27 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
16 |
15 |
$0.00 |
| 90460 |
|
20 |
19 |
$0.00 |
| 90472 |
|
62 |
51 |
$0.00 |
| 90715 |
|
22 |
16 |
$0.00 |
| 99308 |
|
5,852 |
4,340 |
$0.00 |
| 96372 |
|
3,750 |
2,784 |
$0.00 |
| 90834 |
|
2,501 |
1,113 |
$0.00 |
| 99214 |
|
4,650 |
3,627 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,047 |
511 |
$0.00 |
| 99406 |
|
1,175 |
720 |
$0.00 |
| 1030F |
|
728 |
640 |
$0.00 |
| 2010F |
|
102 |
90 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
321 |
245 |
$0.00 |
| 3008F |
|
1,437 |
1,230 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
534 |
175 |
$0.00 |
| 90619 |
|
56 |
38 |
$0.00 |
| 90471 |
|
223 |
193 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
322 |
278 |
$0.00 |
| 87807 |
|
113 |
89 |
$0.00 |
| 1126F |
|
161 |
136 |
$0.00 |
| 1125F |
|
75 |
59 |
$0.00 |
| 99305 |
|
268 |
175 |
$0.00 |
| 1036F |
|
33 |
30 |
$0.00 |
| 90686 |
|
123 |
113 |
$0.00 |
| 3017F |
|
160 |
130 |
$0.00 |
| 92551 |
|
371 |
291 |
$0.00 |
| 0545F |
|
198 |
62 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
61 |
51 |
$0.00 |
| 85018 |
|
77 |
56 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
51 |
37 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
101 |
85 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
56 |
47 |
$0.00 |
| 2001F |
|
110 |
97 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
18 |
16 |
$0.00 |
| 90651 |
|
43 |
31 |
$0.00 |
| 90733 |
|
19 |
15 |
$0.00 |
| 3014F |
|
12 |
12 |
$0.00 |