| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
135,947 |
117,402 |
$36.58M |
| 00003 |
Internal/system code - not a standard HCPCS code |
23,085 |
20,341 |
$7.00M |
| 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 |
7,023 |
5,893 |
$449K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
15 |
15 |
$991.05 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
477 |
475 |
$657.28 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,887 |
10,370 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,096 |
3,065 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,448 |
38,842 |
$0.00 |
| 90686 |
|
1,464 |
1,461 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,304 |
1,303 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
533 |
293 |
$0.00 |
| Z1034 |
|
866 |
701 |
$0.00 |
| 99000 |
|
1,604 |
1,574 |
$0.00 |
| 97802 |
|
812 |
812 |
$0.00 |
| J3490 |
Unclassified drugs |
4,170 |
2,124 |
$0.00 |
| 90656 |
|
551 |
551 |
$0.00 |
| 92250 |
|
14 |
14 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
71 |
71 |
$0.00 |
| 90698 |
|
39 |
39 |
$0.00 |
| 99441 |
|
67 |
65 |
$0.00 |
| 85018 |
|
16 |
12 |
$0.00 |
| 90480 |
|
30 |
30 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
78 |
77 |
$0.00 |
| 90651 |
|
72 |
72 |
$0.00 |
| 90723 |
|
26 |
26 |
$0.00 |
| 99406 |
|
14 |
14 |
$0.00 |
| Z1032 |
|
26 |
26 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |
| 99243 |
|
13 |
12 |
$0.00 |
| Z6410 |
|
15 |
14 |
$0.00 |
| 90657 |
|
12 |
12 |
$0.00 |
| 96127 |
|
41 |
41 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 92551 |
|
18 |
18 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,256 |
14,902 |
$0.00 |
| 92015 |
Determination of refractive state |
1,326 |
1,324 |
$0.00 |
| 99442 |
|
327 |
314 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
751 |
746 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
153 |
152 |
$0.00 |
| 81002 |
|
1,594 |
1,422 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,587 |
1,575 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
449 |
449 |
$0.00 |
| G9920 |
Screening performed and negative |
317 |
315 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
145 |
143 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
226 |
216 |
$0.00 |
| 90715 |
|
47 |
47 |
$0.00 |
| 90461 |
|
75 |
75 |
$0.00 |
| 90670 |
|
94 |
94 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,445 |
687 |
$0.00 |
| 97803 |
|
1,867 |
1,830 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,002 |
995 |
$0.00 |
| 99188 |
|
107 |
107 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
778 |
776 |
$0.00 |
| 92133 |
|
98 |
98 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
653 |
598 |
$0.00 |
| 81025 |
|
246 |
244 |
$0.00 |
| 82948 |
|
196 |
182 |
$0.00 |
| 90658 |
|
180 |
180 |
$0.00 |
| 90710 |
|
42 |
42 |
$0.00 |
| 90633 |
|
182 |
182 |
$0.00 |
| 59425 |
|
188 |
140 |
$0.00 |
| 90648 |
|
33 |
33 |
$0.00 |
| 90734 |
|
48 |
48 |
$0.00 |
| 90649 |
|
83 |
83 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
158 |
91 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| Z6202 |
|
39 |
39 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
65 |
65 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
49 |
49 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
28 |
$0.00 |
| Z6302 |
|
36 |
36 |
$0.00 |
| Z6400 |
|
39 |
39 |
$0.00 |
| Z6500 |
|
39 |
39 |
$0.00 |
| 99201 |
|
15 |
14 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
17 |
17 |
$0.00 |