| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,438 |
23,394 |
$5.04M |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,668 |
1,105 |
$328K |
| G9920 |
Screening performed and negative |
7,564 |
4,679 |
$23K |
| 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 |
561 |
390 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,011 |
18,941 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,142 |
3,633 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,433 |
839 |
$6K |
| 90686 |
|
1,322 |
963 |
$5K |
| 92551 |
|
1,298 |
965 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,490 |
1,663 |
$4K |
| 90688 |
|
570 |
399 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
661 |
399 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,732 |
995 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
583 |
351 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
157 |
93 |
$2K |
| 0134A |
|
37 |
37 |
$1K |
| 92552 |
|
1,129 |
696 |
$1K |
| 90480 |
|
28 |
28 |
$1K |
| 90658 |
|
330 |
231 |
$928.75 |
| 90651 |
|
459 |
338 |
$868.50 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
246 |
147 |
$834.34 |
| 88150 |
|
167 |
103 |
$675.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
751 |
439 |
$672.41 |
| 90744 |
|
241 |
196 |
$643.50 |
| 90656 |
|
301 |
211 |
$592.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,765 |
1,077 |
$565.56 |
| 99386 |
|
40 |
31 |
$478.80 |
| 99173 |
|
2,576 |
1,629 |
$420.27 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
484 |
298 |
$129.78 |
| 90734 |
|
119 |
88 |
$94.75 |
| 90715 |
|
458 |
346 |
$82.56 |
| 90461 |
|
306 |
275 |
$80.00 |
| 90674 |
|
22 |
21 |
$70.00 |
| 90633 |
|
111 |
99 |
$63.75 |
| 99385 |
|
52 |
37 |
$60.00 |
| 90620 |
|
92 |
67 |
$30.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,791 |
2,921 |
$0.02 |
| 97803 |
|
1,931 |
1,188 |
$0.01 |
| 97802 |
|
85 |
57 |
$0.01 |
| 3725F |
|
5,684 |
3,484 |
$0.00 |
| 98940 |
|
5,678 |
2,276 |
$0.00 |
| 3078F |
|
2,477 |
1,439 |
$0.00 |
| 97813 |
|
3,322 |
1,374 |
$0.00 |
| 3077F |
|
539 |
314 |
$0.00 |
| 90750 |
|
132 |
97 |
$0.00 |
| 90746 |
|
226 |
163 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
114 |
79 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
42 |
24 |
$0.00 |
| 97810 |
|
146 |
57 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
23 |
14 |
$0.00 |
| 3008F |
|
7,553 |
4,676 |
$0.00 |
| 3074F |
|
948 |
553 |
$0.00 |
| 82962 |
|
2,814 |
1,532 |
$0.00 |
| 3075F |
|
520 |
310 |
$0.00 |
| 3079F |
|
281 |
171 |
$0.00 |
| 99383 |
|
57 |
54 |
$0.00 |
| 98943 |
|
1,388 |
584 |
$0.00 |
| 99384 |
|
13 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
20 |
12 |
$0.00 |
| 90739 |
|
38 |
27 |
$0.00 |