| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
39,055 |
32,583 |
$9.78M |
| 00003 |
Internal/system code - not a standard HCPCS code |
11,801 |
8,729 |
$3.33M |
| 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 |
1,933 |
1,655 |
$104K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,842 |
1,171 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,185 |
19,083 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,680 |
12,033 |
$22K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,354 |
419 |
$13K |
| 90837 |
Psychotherapy, 53 minutes with patient |
457 |
138 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
600 |
421 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,404 |
980 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,848 |
1,359 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
194 |
162 |
$969.07 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
585 |
419 |
$964.67 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
542 |
323 |
$744.13 |
| 92552 |
|
869 |
539 |
$315.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
174 |
153 |
$280.47 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
393 |
256 |
$173.87 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
46 |
$70.25 |
| 90723 |
|
372 |
251 |
$45.00 |
| 90688 |
|
14 |
13 |
$44.16 |
| 90677 |
|
32 |
25 |
$27.00 |
| 81025 |
|
75 |
52 |
$18.48 |
| 90647 |
|
198 |
132 |
$18.00 |
| 90670 |
|
442 |
300 |
$18.00 |
| 90633 |
|
134 |
80 |
$18.00 |
| 90707 |
|
229 |
165 |
$18.00 |
| 85018 |
|
149 |
122 |
$14.44 |
| 81003 |
|
51 |
38 |
$11.64 |
| 81002 |
|
43 |
42 |
$9.79 |
| 90656 |
|
58 |
45 |
$9.00 |
| 90716 |
|
210 |
153 |
$9.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
189 |
116 |
$4.42 |
| 3008F |
|
8,923 |
8,350 |
$0.00 |
| 3074F |
|
278 |
260 |
$0.00 |
| G9964 |
Patient received at least one well-child visit with a pcp during the performance period |
50 |
50 |
$0.00 |
| 3079F |
|
147 |
146 |
$0.00 |
| 90680 |
|
112 |
82 |
$0.00 |
| 90686 |
|
347 |
235 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 1159F |
|
8,645 |
7,718 |
$0.00 |
| 3078F |
|
437 |
413 |
$0.00 |
| 1160F |
|
7,330 |
6,575 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
27 |
14 |
$0.00 |
| 3077F |
|
26 |
26 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
53 |
38 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
19 |
12 |
$0.00 |