| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,410 |
15,920 |
$11.52M |
| 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 |
2,281 |
1,727 |
$943K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
822 |
810 |
$521K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,503 |
5,740 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,530 |
7,472 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
440 |
414 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
131 |
130 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
455 |
451 |
$1K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,194 |
1,116 |
$698.88 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
396 |
376 |
$640.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,242 |
2,182 |
$65.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
470 |
324 |
$0.00 |
| 92015 |
Determination of refractive state |
664 |
656 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
896 |
867 |
$0.00 |
| 81003 |
|
1,591 |
1,318 |
$0.00 |
| 81025 |
|
303 |
289 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
126 |
105 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
209 |
206 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
25 |
24 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
221 |
221 |
$0.00 |
| V2020 |
Frames, purchases |
321 |
318 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
212 |
203 |
$0.00 |
| 82465 |
|
204 |
203 |
$0.00 |
| 84481 |
|
53 |
53 |
$0.00 |
| 59425 |
|
41 |
26 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 84439 |
|
53 |
53 |
$0.00 |
| 91322 |
|
14 |
14 |
$0.00 |
| 90661 |
|
40 |
40 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
640 |
631 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,691 |
1,667 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
519 |
511 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
240 |
232 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
367 |
254 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
658 |
619 |
$0.00 |
| 90686 |
|
59 |
59 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
32 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
643 |
594 |
$0.00 |
| 90480 |
|
17 |
17 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
25 |
24 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
79 |
70 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
64 |
58 |
$0.00 |
| 90674 |
|
163 |
162 |
$0.00 |
| 84436 |
|
52 |
52 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
36 |
30 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
81 |
81 |
$0.00 |
| 85018 |
|
19 |
18 |
$0.00 |