| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
68,413 |
45,389 |
$7.29M |
| 00003 |
Internal/system code - not a standard HCPCS code |
34,918 |
16,990 |
$4.99M |
| 0001A |
|
2,046 |
1,122 |
$91K |
| 0002A |
|
1,829 |
997 |
$82K |
| 0012A |
|
1,072 |
677 |
$47K |
| 0011A |
|
1,023 |
647 |
$34K |
| 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 |
731 |
528 |
$27K |
| 0004A |
|
365 |
231 |
$17K |
| 0064A |
|
360 |
229 |
$17K |
| 0071A |
|
297 |
167 |
$14K |
| 0013A |
|
302 |
205 |
$13K |
| 0072A |
|
195 |
110 |
$9K |
| 0031A |
|
102 |
59 |
$5K |
| 0003A |
|
47 |
26 |
$2K |
| G9920 |
Screening performed and negative |
118 |
117 |
$406.00 |
| 81003 |
|
1,152 |
875 |
$0.00 |
| Z6304 |
|
430 |
363 |
$0.00 |
| 90710 |
|
44 |
43 |
$0.00 |
| 90700 |
|
57 |
57 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
589 |
589 |
$0.00 |
| A4550 |
Surgical trays |
159 |
156 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
390 |
389 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
319 |
319 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
75 |
$0.00 |
| 98940 |
|
3,970 |
2,446 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
549 |
549 |
$0.00 |
| 99173 |
|
1,399 |
1,393 |
$0.00 |
| 1160F |
|
479 |
432 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,327 |
2,868 |
$0.00 |
| 90715 |
|
63 |
63 |
$0.00 |
| 90670 |
|
373 |
373 |
$0.00 |
| 90681 |
|
43 |
43 |
$0.00 |
| 3725F |
|
283 |
260 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
143 |
142 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
316 |
198 |
$0.00 |
| 90649 |
|
26 |
26 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 11720 |
|
13 |
13 |
$0.00 |
| 3078F |
|
287 |
277 |
$0.00 |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
15 |
14 |
$0.00 |
| 90633 |
|
86 |
86 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
162 |
155 |
$0.00 |
| 81025 |
|
108 |
105 |
$0.00 |
| 1159F |
|
479 |
432 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
63 |
63 |
$0.00 |
| 90644 |
|
12 |
12 |
$0.00 |
| Z6400 |
|
43 |
27 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
80 |
34 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,423 |
14,175 |
$0.00 |
| 92551 |
|
1,390 |
1,383 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
756 |
756 |
$0.00 |
| 90647 |
|
238 |
237 |
$0.00 |
| 1036F |
|
298 |
269 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,332 |
751 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,347 |
2,243 |
$0.00 |
| 1126F |
|
238 |
230 |
$0.00 |
| 90686 |
|
952 |
951 |
$0.00 |
| 85018 |
|
341 |
340 |
$0.00 |
| J3490 |
Unclassified drugs |
12 |
12 |
$0.00 |
| Z6204 |
|
294 |
238 |
$0.00 |
| 3074F |
|
289 |
278 |
$0.00 |
| 90688 |
|
482 |
481 |
$0.00 |
| Z6410 |
|
136 |
75 |
$0.00 |
| Z1034 |
|
1,060 |
710 |
$0.00 |
| 90651 |
|
145 |
145 |
$0.00 |
| 3008F |
|
411 |
391 |
$0.00 |
| Z6406 |
|
359 |
274 |
$0.00 |
| 86580 |
|
13 |
13 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
107 |
105 |
$0.00 |
| 3079F |
|
40 |
40 |
$0.00 |
| 90723 |
|
124 |
123 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
51 |
51 |
$0.00 |
| 3075F |
|
36 |
35 |
$0.00 |
| 92227 |
|
79 |
78 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |