| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
69,250 |
50,330 |
$39.45M |
| 00003 |
Internal/system code - not a standard HCPCS code |
34,664 |
26,366 |
$18.80M |
| 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 |
8,955 |
6,809 |
$3.64M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,236 |
4,937 |
$2.79M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
151 |
142 |
$92K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
139 |
133 |
$8K |
| 0012A |
|
127 |
127 |
$4K |
| 0011A |
|
136 |
136 |
$3K |
| 0064A |
|
20 |
20 |
$800.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,206 |
18,251 |
$253.29 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,750 |
1,187 |
$196.04 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,795 |
1,738 |
$94.70 |
| 92015 |
Determination of refractive state |
4,254 |
4,230 |
$45.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,545 |
3,407 |
$9.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,420 |
6,223 |
$4.01 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,973 |
4,900 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,228 |
2,580 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,229 |
1,428 |
$0.00 |
| 90480 |
|
159 |
159 |
$0.00 |
| Q0112 |
All potassium hydroxide (koh) preparations |
313 |
280 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,279 |
2,160 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,387 |
1,281 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
4,701 |
4,553 |
$0.00 |
| 90674 |
|
854 |
844 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
709 |
678 |
$0.00 |
| 86140 |
|
184 |
174 |
$0.00 |
| 85018 |
|
1,802 |
1,721 |
$0.00 |
| 90697 |
|
197 |
167 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,738 |
25,537 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,767 |
4,629 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,112 |
1,030 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,911 |
1,883 |
$0.00 |
| 82043 |
|
353 |
352 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,049 |
2,963 |
$0.00 |
| 99460 |
|
14 |
13 |
$0.00 |
| 90474 |
|
40 |
36 |
$0.00 |
| 82607 |
|
471 |
460 |
$0.00 |
| 84436 |
|
551 |
539 |
$0.00 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
250 |
222 |
$0.00 |
| 83550 |
|
132 |
130 |
$0.00 |
| 90651 |
|
239 |
239 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
482 |
480 |
$0.00 |
| 90619 |
|
124 |
124 |
$0.00 |
| 96127 |
|
76 |
75 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
238 |
227 |
$0.00 |
| 90677 |
|
162 |
158 |
$0.00 |
| 90686 |
|
272 |
263 |
$0.00 |
| 82728 |
|
15 |
15 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
68 |
58 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
134 |
134 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
24 |
24 |
$0.00 |
| 81015 |
|
65 |
65 |
$0.00 |
| 90696 |
|
37 |
37 |
$0.00 |
| 87081 |
|
12 |
12 |
$0.00 |
| 86769 |
|
19 |
19 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
32 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
24 |
$0.00 |
| 90694 |
|
13 |
13 |
$0.00 |
| 59430 |
|
30 |
24 |
$0.00 |
| 90680 |
|
42 |
30 |
$0.00 |
| V2020 |
Frames, purchases |
2,381 |
2,366 |
$0.00 |
| 90670 |
|
61 |
41 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
481 |
479 |
$0.00 |
| 84439 |
|
541 |
529 |
$0.00 |
| 81003 |
|
3,042 |
2,905 |
$0.00 |
| 90461 |
|
116 |
108 |
$0.00 |
| 81025 |
|
1,766 |
1,717 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,157 |
1,144 |
$0.00 |
| 82465 |
|
2,501 |
2,470 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,451 |
2,333 |
$0.00 |
| 82570 |
|
353 |
352 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,649 |
1,537 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
684 |
567 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,890 |
1,872 |
$0.00 |
| 59425 |
|
1,035 |
657 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,192 |
2,942 |
$0.00 |
| 84481 |
|
541 |
529 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,158 |
2,145 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
283 |
268 |
$0.00 |
| 83540 |
|
131 |
129 |
$0.00 |
| 91322 |
|
133 |
133 |
$0.00 |
| 90633 |
|
149 |
138 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
58 |
57 |
$0.00 |
| 90715 |
|
209 |
208 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
171 |
162 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
26 |
$0.00 |
| 90710 |
|
197 |
187 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
30 |
29 |
$0.00 |
| 92341 |
|
101 |
101 |
$0.00 |
| 90661 |
|
103 |
103 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
980 |
358 |
$0.00 |
| 90671 |
|
168 |
142 |
$0.00 |
| 90473 |
|
15 |
15 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
13 |
$0.00 |
| 97161 |
|
27 |
27 |
$0.00 |
| 90653 |
|
31 |
31 |
$0.00 |
| 87150 |
|
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$0.00 |
| 90746 |
|
12 |
12 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$0.00 |