| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
19,084 |
12,480 |
$9.86M |
| T1015 |
Clinic visit/encounter, all-inclusive |
9,925 |
6,476 |
$5.50M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,085 |
1,921 |
$107K |
| 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 |
206 |
130 |
$100K |
| 0012A |
|
37 |
37 |
$1K |
| 0011A |
|
34 |
34 |
$967.98 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,734 |
1,517 |
$0.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
41 |
$0.00 |
| 90686 |
|
79 |
78 |
$0.00 |
| 99000 |
|
43 |
39 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
65 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
13 |
$0.00 |
| 92551 |
|
84 |
80 |
$0.00 |
| 0520 |
|
17 |
13 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
273 |
149 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,545 |
2,117 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,298 |
695 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
97 |
82 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
58 |
57 |
$0.00 |
| 99173 |
|
86 |
85 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| 90461 |
|
16 |
16 |
$0.00 |
| 90715 |
|
14 |
13 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$0.00 |