| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
38,141 |
28,131 |
$2.69M |
| 00003 |
Internal/system code - not a standard HCPCS code |
274 |
209 |
$28K |
| 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 |
1,392 |
1,093 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,268 |
24,715 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
78 |
$583.82 |
| 36410 |
|
1,754 |
1,702 |
$559.78 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
124 |
109 |
$155.00 |
| 85018 |
|
363 |
360 |
$48.14 |
| 90674 |
|
18 |
16 |
$38.58 |
| 90656 |
|
38 |
36 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
107 |
86 |
$0.00 |
| 86580 |
|
54 |
53 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
25 |
$0.00 |
| 92081 |
|
155 |
153 |
$0.00 |
| 90756 |
|
28 |
28 |
$0.00 |
| 81002 |
|
120 |
114 |
$0.00 |
| 92552 |
|
66 |
65 |
$0.00 |
| 90658 |
|
53 |
53 |
$0.00 |
| 82947 |
|
14 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$0.00 |