| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,485 |
19,654 |
$4.81M |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,549 |
947 |
$387K |
| 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 |
351 |
275 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
474 |
403 |
$6K |
| V2020 |
Frames, purchases |
326 |
283 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
242 |
208 |
$988.89 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,600 |
5,055 |
$813.81 |
| 92015 |
Determination of refractive state |
475 |
415 |
$553.37 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,843 |
2,457 |
$543.11 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
417 |
387 |
$177.27 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,025 |
1,422 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
86 |
86 |
$0.00 |
| 99173 |
|
76 |
76 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
43 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
64 |
63 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
80 |
54 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
929 |
638 |
$0.00 |
| 85018 |
|
97 |
97 |
$0.00 |
| 92551 |
|
55 |
55 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
101 |
101 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
90 |
90 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
41 |
38 |
$0.00 |
| 87428 |
|
98 |
97 |
$0.00 |
| 90688 |
|
14 |
14 |
$0.00 |
| 87807 |
|
13 |
13 |
$0.00 |