| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
33,916 |
22,462 |
$3.61M |
| 00003 |
Internal/system code - not a standard HCPCS code |
15,697 |
5,881 |
$2.20M |
| 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 |
793 |
510 |
$20K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
31 |
27 |
$0.00 |
| 99173 |
|
386 |
386 |
$0.00 |
| 81025 |
|
337 |
313 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
68 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23 |
23 |
$0.00 |
| 98940 |
|
909 |
600 |
$0.00 |
| 81003 |
|
985 |
861 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
54 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
73 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
333 |
309 |
$0.00 |
| Z6304 |
|
19 |
12 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |
| 90715 |
|
29 |
29 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$0.00 |
| 85018 |
|
571 |
564 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,994 |
5,592 |
$0.00 |
| 90686 |
|
293 |
291 |
$0.00 |
| 92551 |
|
345 |
343 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
641 |
626 |
$0.00 |
| 90688 |
|
129 |
129 |
$0.00 |
| Z1034 |
|
45 |
28 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
27 |
26 |
$0.00 |
| 93000 |
|
32 |
32 |
$0.00 |