| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
38,057 |
34,638 |
$5.64M |
| 00003 |
Internal/system code - not a standard HCPCS code |
30,818 |
26,453 |
$5.57M |
| 0011A |
|
21 |
21 |
$1K |
| 0012A |
|
19 |
19 |
$1K |
| 0001A |
|
15 |
15 |
$1K |
| 0002A |
|
13 |
13 |
$871.00 |
| 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 |
23 |
14 |
$558.64 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,129 |
1,127 |
$0.00 |
| 90670 |
|
262 |
260 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,710 |
9,886 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
108 |
108 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,538 |
1,536 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,021 |
1,014 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
245 |
243 |
$0.00 |
| 99173 |
|
788 |
786 |
$0.00 |
| 81003 |
|
52 |
50 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
700 |
699 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
143 |
143 |
$0.00 |
| 90633 |
|
145 |
144 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
15 |
$0.00 |
| 90681 |
|
72 |
72 |
$0.00 |
| 90734 |
|
94 |
94 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$0.00 |
| 86703 |
|
12 |
12 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,739 |
5,498 |
$0.00 |
| 92551 |
|
836 |
834 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,658 |
1,652 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,667 |
1,585 |
$0.00 |
| 90656 |
|
785 |
784 |
$0.00 |
| 90647 |
|
146 |
144 |
$0.00 |
| 99381 |
|
54 |
54 |
$0.00 |
| 90723 |
|
159 |
158 |
$0.00 |
| 90474 |
|
53 |
53 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
146 |
146 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |
| 90651 |
|
187 |
187 |
$0.00 |
| 85018 |
|
1,071 |
1,070 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
52 |
50 |
$0.00 |
| 90620 |
|
24 |
24 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |
| 99383 |
|
14 |
14 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |