| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,187 |
10,623 |
$2.34M |
| 00003 |
Internal/system code - not a standard HCPCS code |
9,231 |
3,220 |
$1.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,741 |
3,858 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
780 |
695 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
416 |
398 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 97803 |
|
2,254 |
1,820 |
$1K |
| 97802 |
|
711 |
597 |
$500.00 |
| 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 |
41 |
32 |
$469.50 |
| 99000 |
|
53 |
52 |
$134.31 |
| 90756 |
|
163 |
160 |
$85.58 |
| 90674 |
|
40 |
39 |
$24.60 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
16 |
$13.50 |
| 99173 |
|
201 |
173 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
46 |
$0.00 |
| 90649 |
|
13 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
58 |
55 |
$0.00 |
| 92551 |
|
194 |
171 |
$0.00 |
| 1111F |
|
13 |
12 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |