| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
63,435 |
30,169 |
$15.28M |
| T1016 |
Case management, each 15 minutes |
6,127 |
3,385 |
$307K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
9,739 |
4,628 |
$181K |
| H0038 |
Self-help/peer services, per 15 minutes |
536 |
92 |
$20K |
| S0215 |
Non-emergency transportation; mileage, per mile |
28 |
12 |
$904.23 |
| H2014 |
Skills training and development, per 15 minutes |
13,715 |
6,598 |
$494.74 |
| 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 |
798 |
769 |
$364.95 |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
7,938 |
2,531 |
$240.44 |
| 0012A |
|
46 |
46 |
$240.00 |
| 90791 |
Psychiatric diagnostic evaluation |
979 |
903 |
$221.94 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
28 |
12 |
$210.83 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,337 |
2,831 |
$154.63 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,945 |
3,263 |
$82.67 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
613 |
527 |
$62.22 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,063 |
985 |
$42.92 |
| 99443 |
|
2,670 |
2,273 |
$0.01 |
| 99442 |
|
487 |
431 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,008 |
678 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,093 |
924 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
3,323 |
2,371 |
$0.00 |
| 96138 |
|
212 |
105 |
$0.00 |
| 3078F |
|
3,984 |
3,390 |
$0.00 |
| 1159F |
|
1,793 |
1,495 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
38 |
37 |
$0.00 |
| 91300 |
|
41 |
41 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
112 |
94 |
$0.00 |
| 3077F |
|
239 |
164 |
$0.00 |
| 1160F |
|
2,799 |
2,360 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
139 |
58 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
718 |
477 |
$0.00 |
| H0034 |
Medication training and support, per 15 minutes |
159 |
126 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
137 |
112 |
$0.00 |
| 96136 |
|
50 |
42 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
222 |
202 |
$0.00 |
| 0002A |
|
22 |
22 |
$0.00 |
| 91320 |
|
12 |
12 |
$0.00 |
| 99173 |
|
214 |
177 |
$0.00 |
| 96137 |
|
83 |
76 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
110 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
115 |
92 |
$0.00 |
| 99382 |
|
20 |
20 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
16 |
13 |
$0.00 |
| 99490 |
Ccm add 20min |
47 |
47 |
$0.00 |
| 96130 |
|
106 |
65 |
$0.00 |
| 0124A |
|
15 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$0.00 |
| 91313 |
|
53 |
30 |
$0.00 |
| 3074F |
|
4,318 |
3,653 |
$0.00 |
| 99441 |
|
1,151 |
928 |
$0.00 |
| 96132 |
|
74 |
59 |
$0.00 |
| 3075F |
|
479 |
445 |
$0.00 |
| 3079F |
|
1,486 |
1,299 |
$0.00 |
| 96127 |
|
114 |
96 |
$0.00 |
| 96139 |
|
71 |
37 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
100 |
89 |
$0.00 |
| 92523 |
|
341 |
326 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$0.00 |
| 90656 |
|
220 |
136 |
$0.00 |
| 0134A |
|
90 |
59 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$0.00 |
| 3008F |
|
6,502 |
5,435 |
$0.00 |
| 90686 |
|
125 |
114 |
$0.00 |
| 1220F |
|
282 |
221 |
$0.00 |
| 0001A |
|
19 |
19 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 1125F |
|
74 |
70 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
260 |
159 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
108 |
108 |
$0.00 |
| 1126F |
|
53 |
44 |
$0.00 |
| 91301 |
|
77 |
74 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |
| 81000 |
|
73 |
73 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
32 |
31 |
$0.00 |
| 1111F |
|
37 |
37 |
$0.00 |
| 0011A |
|
28 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
34 |
26 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
37 |
$0.00 |
| 99493 |
|
27 |
27 |
$0.00 |
| 3080F |
|
27 |
27 |
$0.00 |