| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
44,882 |
36,662 |
$5.84M |
| 00003 |
Internal/system code - not a standard HCPCS code |
2,702 |
2,702 |
$493K |
| 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 |
826 |
731 |
$47K |
| 0012A |
|
371 |
239 |
$9K |
| 0011A |
|
342 |
279 |
$5K |
| 0001A |
|
94 |
53 |
$4K |
| 0002A |
|
63 |
35 |
$3K |
| 0013A |
|
57 |
33 |
$2K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
12 |
12 |
$1K |
| 0064A |
|
23 |
13 |
$980.00 |
| 98940 |
|
275 |
215 |
$641.90 |
| 0031A |
|
17 |
12 |
$335.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,987 |
14,329 |
$322.06 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,277 |
4,883 |
$16.29 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,389 |
1,334 |
$3.51 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
370 |
370 |
$0.00 |
| 99173 |
|
2,676 |
2,667 |
$0.00 |
| 81002 |
|
1,872 |
1,584 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,876 |
2,845 |
$0.00 |
| 1159F |
|
9,049 |
8,262 |
$0.00 |
| 90461 |
|
1,176 |
1,171 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
415 |
414 |
$0.00 |
| 3078F |
|
6,090 |
5,756 |
$0.00 |
| 1160F |
|
8,771 |
8,000 |
$0.00 |
| 82948 |
|
2,477 |
2,262 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
314 |
277 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
151 |
148 |
$0.00 |
| 90715 |
|
73 |
73 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
67 |
65 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
430 |
428 |
$0.00 |
| 83655 |
|
120 |
118 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| 3077F |
|
111 |
105 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
550 |
550 |
$0.00 |
| 90658 |
|
1,001 |
1,000 |
$0.00 |
| 90734 |
|
42 |
42 |
$0.00 |
| 3051F |
|
110 |
105 |
$0.00 |
| 3046F |
|
177 |
167 |
$0.00 |
| Z6400 |
|
70 |
70 |
$0.00 |
| 90633 |
|
143 |
143 |
$0.00 |
| 3725F |
|
65 |
65 |
$0.00 |
| 90648 |
|
194 |
194 |
$0.00 |
| 90670 |
|
206 |
206 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
66 |
66 |
$0.00 |
| 81025 |
|
52 |
51 |
$0.00 |
| Z6304 |
|
15 |
15 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
249 |
238 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
18 |
$0.00 |
| 99442 |
|
34 |
28 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
140 |
140 |
$0.00 |
| D0190 |
|
104 |
104 |
$0.00 |
| PROP5 |
|
31 |
31 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 2026F |
|
15 |
14 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |
| 90655 |
|
26 |
26 |
$0.00 |
| D9993 |
|
13 |
13 |
$0.00 |
| 82274 |
|
18 |
16 |
$0.00 |
| 90649 |
|
17 |
17 |
$0.00 |
| Z1034 |
|
1,024 |
756 |
$0.00 |
| 3074F |
|
5,415 |
5,132 |
$0.00 |
| 3044F |
|
275 |
267 |
$0.00 |
| 90686 |
|
715 |
713 |
$0.00 |
| 36416 |
|
72 |
71 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
243 |
236 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,729 |
1,621 |
$0.00 |
| 3052F |
|
39 |
38 |
$0.00 |
| 85018 |
|
2,339 |
2,321 |
$0.00 |
| 3079F |
|
725 |
704 |
$0.00 |
| 1126F |
|
5,588 |
5,322 |
$0.00 |
| 3075F |
|
1,153 |
1,115 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
121 |
116 |
$0.00 |
| 91301 |
|
449 |
423 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,415 |
2,306 |
$0.00 |
| 92551 |
|
1,860 |
1,853 |
$0.00 |
| 1125F |
|
587 |
575 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
664 |
660 |
$0.00 |
| 88142 |
|
321 |
313 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
367 |
311 |
$0.00 |
| 90620 |
|
316 |
316 |
$0.00 |
| 1170F |
|
506 |
484 |
$0.00 |
| 99000 |
|
76 |
74 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
295 |
277 |
$0.00 |
| 90723 |
|
37 |
37 |
$0.00 |
| 90651 |
|
198 |
198 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
323 |
281 |
$0.00 |
| 3061F |
|
46 |
45 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
100 |
100 |
$0.00 |
| Z6410 |
|
41 |
36 |
$0.00 |
| 86580 |
|
212 |
212 |
$0.00 |
| 99443 |
|
159 |
133 |
$0.00 |
| 2033F |
|
236 |
228 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
107 |
107 |
$0.00 |
| 1111F |
|
72 |
69 |
$0.00 |
| 90677 |
|
57 |
57 |
$0.00 |
| D1310 |
|
13 |
13 |
$0.00 |
| Z6204 |
|
15 |
15 |
$0.00 |
| D1330 |
|
13 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
91 |
89 |
$0.00 |
| 4010F |
|
13 |
13 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 99383 |
|
13 |
13 |
$0.00 |
| 1000F |
|
13 |
13 |
$0.00 |
| Z6406 |
|
15 |
15 |
$0.00 |