| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
61,399 |
44,312 |
$35.76M |
| 00003 |
Internal/system code - not a standard HCPCS code |
41,034 |
32,828 |
$22.24M |
| 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 |
8,872 |
7,088 |
$3.55M |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
1,678 |
1,022 |
$685K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,056 |
24,544 |
$820.95 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
224 |
223 |
$104.61 |
| 0250 |
|
292 |
226 |
$101.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,476 |
1,410 |
$45.00 |
| 81025 |
|
491 |
477 |
$7.14 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,058 |
1,035 |
$0.00 |
| 82947 |
|
1,311 |
1,272 |
$0.00 |
| 81003 |
|
1,955 |
1,806 |
$0.00 |
| 90715 |
|
462 |
452 |
$0.00 |
| 90461 |
|
1,307 |
1,234 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
629 |
619 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,783 |
1,682 |
$0.00 |
| 80305 |
|
2,181 |
2,076 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
559 |
548 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
281 |
265 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,275 |
1,721 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
99 |
98 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,653 |
1,552 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
659 |
606 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,202 |
2,068 |
$0.00 |
| 83655 |
|
323 |
310 |
$0.00 |
| 90670 |
|
184 |
160 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,861 |
4,383 |
$0.00 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
40 |
24 |
$0.00 |
| 99173 |
|
1,102 |
1,085 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
274 |
273 |
$0.00 |
| 90633 |
|
68 |
68 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
953 |
920 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
274 |
270 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
13 |
$0.00 |
| 17110 |
|
34 |
33 |
$0.00 |
| 90710 |
|
196 |
186 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
177 |
156 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
40 |
40 |
$0.00 |
| 90734 |
|
31 |
31 |
$0.00 |
| 90648 |
|
21 |
15 |
$0.00 |
| 86703 |
|
23 |
23 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,535 |
2,474 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,278 |
16,656 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,467 |
3,269 |
$0.00 |
| 85018 |
|
909 |
869 |
$0.00 |
| 92551 |
|
673 |
665 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
166 |
159 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
500 |
474 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
433 |
362 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,770 |
1,588 |
$0.00 |
| 90697 |
|
142 |
131 |
$0.00 |
| 99000 |
|
52 |
52 |
$0.00 |
| 90698 |
|
63 |
57 |
$0.00 |
| 90686 |
|
413 |
385 |
$0.00 |
| 90744 |
|
74 |
69 |
$0.00 |
| 90651 |
|
67 |
64 |
$0.00 |
| 90739 |
|
33 |
33 |
$0.00 |
| 90696 |
|
60 |
58 |
$0.00 |
| 86803 |
|
16 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
82 |
80 |
$0.00 |
| 90723 |
|
18 |
12 |
$0.00 |
| 87807 |
|
43 |
43 |
$0.00 |
| 93000 |
|
15 |
15 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |