| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,661 |
22,321 |
$21.24M |
| 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 |
10,260 |
7,327 |
$4.16M |
| 00003 |
Internal/system code - not a standard HCPCS code |
6,011 |
5,658 |
$4.05M |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
542 |
316 |
$257K |
| 0250 |
|
447 |
310 |
$433.57 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
609 |
572 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
401 |
369 |
$0.00 |
| 81003 |
|
794 |
736 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,658 |
1,369 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,024 |
1,893 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,335 |
710 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 81025 |
|
231 |
223 |
$0.00 |
| 99173 |
|
237 |
233 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
171 |
158 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
505 |
361 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
23 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
63 |
59 |
$0.00 |
| 83655 |
|
45 |
41 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
82 |
71 |
$0.00 |
| 90715 |
|
90 |
90 |
$0.00 |
| 90461 |
|
233 |
226 |
$0.00 |
| 90670 |
|
34 |
32 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
60 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
50 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
24 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$0.00 |
| 90662 |
|
20 |
20 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |
| 85018 |
|
166 |
151 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,722 |
7,474 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,645 |
1,031 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,176 |
18,148 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
557 |
510 |
$0.00 |
| 97139 |
|
960 |
172 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
218 |
218 |
$0.00 |
| 97750 |
|
269 |
134 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
12 |
$0.00 |
| 92551 |
|
43 |
43 |
$0.00 |
| 90686 |
|
62 |
58 |
$0.00 |
| 93000 |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
40 |
40 |
$0.00 |
| 86803 |
|
12 |
12 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$0.00 |