| 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 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
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 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,248 |
6,677 |
$60.40 |
| 3080F |
|
342 |
276 |
$30.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,888 |
2,193 |
$21.00 |
| 3075F |
|
644 |
558 |
$15.00 |
| 3044F |
|
174 |
162 |
$10.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
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 |
Psychotherapy, 30 minutes with patient |
726 |
423 |
$0.00 |
| 1160F |
|
523 |
442 |
$0.00 |
| 3725F |
|
827 |
727 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
337 |
260 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
637 |
539 |
$0.00 |
| 4004F |
|
615 |
530 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
246 |
193 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
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 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
91 |
70 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
164 |
128 |
$0.00 |
| 3720F |
|
209 |
161 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
213 |
197 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
149 |
99 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
212 |
174 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
197 |
178 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
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 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
19 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
62 |
51 |
$0.00 |
| 90715 |
|
22 |
16 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,852 |
4,340 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,750 |
2,784 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,501 |
1,113 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
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 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
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 |