| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
44,670 |
30,869 |
$24.54M |
| 00003 |
Internal/system code - not a standard HCPCS code |
15,767 |
12,019 |
$8.71M |
| 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 |
6,823 |
4,127 |
$2.88M |
| A0390 |
Als mileage (per mile) |
7,767 |
4,091 |
$202K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
8,186 |
4,206 |
$143K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,960 |
19,080 |
$211.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,884 |
7,512 |
$110.66 |
| 71046 |
Radiologic examination, chest; 2 views |
248 |
234 |
$37.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,633 |
1,380 |
$33.53 |
| 80053 |
Comprehensive metabolic panel |
3,142 |
3,011 |
$27.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
35 |
32 |
$11.70 |
| 80061 |
Lipid panel |
1,283 |
1,271 |
$11.54 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
676 |
517 |
$2.00 |
| 81003 |
|
1,077 |
978 |
$1.96 |
| 99215 |
Prolong outpt/office vis |
754 |
690 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,409 |
771 |
$0.00 |
| 90670 |
|
132 |
128 |
$0.00 |
| 82042 |
|
492 |
476 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
364 |
231 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
355 |
343 |
$0.00 |
| 90715 |
|
385 |
385 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
547 |
516 |
$0.00 |
| 90633 |
|
65 |
64 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
513 |
510 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
527 |
175 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,066 |
1,051 |
$0.00 |
| 99173 |
|
653 |
649 |
$0.00 |
| 81025 |
|
391 |
372 |
$0.00 |
| 90649 |
|
160 |
160 |
$0.00 |
| 99001 |
|
136 |
130 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
549 |
547 |
$0.00 |
| 90710 |
|
74 |
72 |
$0.00 |
| 73630 |
|
16 |
12 |
$0.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
225 |
214 |
$0.00 |
| 90734 |
|
116 |
116 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
38 |
$0.00 |
| 91322 |
|
12 |
12 |
$0.00 |
| 80305 |
|
271 |
239 |
$0.00 |
| 90630 |
|
13 |
13 |
$0.00 |
| 90662 |
|
56 |
56 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
26 |
$0.00 |
| 83655 |
|
29 |
28 |
$0.00 |
| 99188 |
|
15 |
15 |
$0.00 |
| 84550 |
|
16 |
15 |
$0.00 |
| 90838 |
|
14 |
13 |
$0.00 |
| 81001 |
|
554 |
509 |
$0.00 |
| 90686 |
|
2,010 |
1,997 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,956 |
3,874 |
$0.00 |
| 36416 |
|
204 |
180 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,554 |
4,024 |
$0.00 |
| 93000 |
|
100 |
95 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,112 |
2,948 |
$0.00 |
| 90656 |
|
60 |
60 |
$0.00 |
| 94760 |
|
490 |
457 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,101 |
2,074 |
$0.00 |
| 90674 |
|
60 |
56 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
778 |
698 |
$0.00 |
| 85018 |
|
211 |
205 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
798 |
499 |
$0.00 |
| 90651 |
|
102 |
102 |
$0.00 |
| 90688 |
|
57 |
55 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
387 |
367 |
$0.00 |
| 90647 |
|
42 |
39 |
$0.00 |
| 85651 |
|
136 |
128 |
$0.00 |
| 90620 |
|
71 |
71 |
$0.00 |
| 87430 |
|
453 |
435 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
105 |
99 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$0.00 |
| 86580 |
|
45 |
44 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
28 |
28 |
$0.00 |
| 92551 |
|
44 |
44 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
44 |
44 |
$0.00 |
| 99000 |
|
16 |
12 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |