| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
490 |
338 |
$208K |
| T1015 |
Clinic visit/encounter, all-inclusive |
236 |
187 |
$79K |
| 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 |
125 |
100 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,072 |
824 |
$13K |
| 81002 |
|
17 |
12 |
$0.00 |
| 99000 |
|
13 |
12 |
$0.00 |
| 90688 |
|
15 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
23 |
$0.00 |
| 99406 |
|
14 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$0.00 |