| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,786 |
23,673 |
$2.92M |
| 00003 |
Internal/system code - not a standard HCPCS code |
5,668 |
4,603 |
$807K |
| 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 |
794 |
753 |
$11K |
| 0011A |
|
119 |
115 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
318 |
206 |
$2K |
| 0012A |
|
33 |
33 |
$2K |
| 0064A |
|
139 |
122 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
600 |
441 |
$469.67 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,774 |
10,197 |
$236.14 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
323 |
212 |
$151.90 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,051 |
7,337 |
$141.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,625 |
3,857 |
$136.60 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
571 |
368 |
$105.15 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
816 |
467 |
$102.90 |
| 90715 |
|
509 |
322 |
$89.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,914 |
1,851 |
$16.23 |
| 81025 |
|
233 |
140 |
$2.80 |
| 81002 |
|
1,718 |
1,088 |
$2.15 |
| 85018 |
|
567 |
359 |
$2.07 |
| 82962 |
|
772 |
495 |
$2.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
502 |
343 |
$0.00 |
| 3078F |
|
8,666 |
8,168 |
$0.00 |
| 3046F |
|
350 |
226 |
$0.00 |
| 90750 |
|
137 |
93 |
$0.00 |
| 3077F |
|
1,778 |
1,642 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,508 |
903 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
701 |
428 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
572 |
511 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
104 |
63 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 59425 |
|
50 |
38 |
$0.00 |
| 90658 |
|
178 |
115 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
38 |
$0.00 |
| 3074F |
|
8,795 |
8,305 |
$0.00 |
| 3079F |
|
3,439 |
3,340 |
$0.00 |
| 3080F |
|
644 |
604 |
$0.00 |
| 3075F |
|
2,286 |
2,241 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,568 |
2,438 |
$0.00 |
| 3044F |
|
235 |
155 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
13 |
$0.00 |
| 99000 |
|
367 |
348 |
$0.00 |
| 90688 |
|
1,014 |
710 |
$0.00 |
| 92250 |
|
121 |
120 |
$0.00 |
| 91306 |
|
84 |
84 |
$0.00 |
| 90686 |
|
150 |
95 |
$0.00 |
| 90739 |
|
436 |
292 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
45 |
$0.00 |
| 91301 |
|
36 |
36 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
19 |
15 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
33 |
18 |
$0.00 |