| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
56,115 |
30,865 |
$10.21M |
| 00003 |
Internal/system code - not a standard HCPCS code |
4,967 |
3,614 |
$1.19M |
| 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 |
2,837 |
2,263 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,966 |
6,096 |
$51K |
| J3490 |
Unclassified drugs |
94 |
67 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
132 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,113 |
2,815 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
203 |
130 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,597 |
2,913 |
$2K |
| 99215 |
Prolong outpt/office vis |
258 |
236 |
$629.20 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
169 |
147 |
$423.96 |
| 81025 |
|
144 |
143 |
$123.20 |
| 92551 |
|
758 |
684 |
$122.15 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
898 |
856 |
$29.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,146 |
1,079 |
$26.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
147 |
125 |
$8.85 |
| 81003 |
|
107 |
96 |
$5.68 |
| 85018 |
|
645 |
594 |
$4.14 |
| 99173 |
|
819 |
736 |
$0.00 |
| 90670 |
|
170 |
167 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
88 |
67 |
$0.00 |
| 90633 |
|
173 |
165 |
$0.00 |
| 90700 |
|
105 |
104 |
$0.00 |
| 90715 |
|
29 |
28 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
156 |
135 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
433 |
397 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
148 |
135 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
358 |
354 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
44 |
44 |
$0.00 |
| 90648 |
|
374 |
367 |
$0.00 |
| 82947 |
|
12 |
12 |
$0.00 |
| 90734 |
|
43 |
42 |
$0.00 |
| 90710 |
|
67 |
61 |
$0.00 |
| 99188 |
|
12 |
12 |
$0.00 |
| 83655 |
|
22 |
22 |
$0.00 |
| 74018 |
|
19 |
16 |
$0.00 |
| 90681 |
|
26 |
26 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$0.00 |
| 90677 |
|
195 |
191 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
83 |
73 |
$0.00 |
| 90696 |
|
18 |
14 |
$0.00 |
| 86403 |
|
86 |
73 |
$0.00 |
| 90723 |
|
137 |
135 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$0.00 |
| 90686 |
|
42 |
41 |
$0.00 |
| 90651 |
|
58 |
55 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |