| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
18,995 |
13,930 |
$3.03M |
| T1015 |
Clinic visit/encounter, all-inclusive |
10,605 |
8,835 |
$1.47M |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,673 |
1,105 |
$266K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,395 |
5,384 |
$157K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
395 |
354 |
$20K |
| 92081 |
|
678 |
678 |
$18K |
| 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 |
267 |
204 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
205 |
205 |
$8K |
| 92552 |
|
647 |
647 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
124 |
124 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
307 |
285 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
99 |
99 |
$3K |
| 81000 |
|
1,387 |
1,272 |
$3K |
| 85018 |
|
1,015 |
1,005 |
$2K |
| 90715 |
|
51 |
46 |
$739.99 |
| 81025 |
|
287 |
276 |
$686.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
145 |
143 |
$462.52 |
| Q3014 |
Telehealth originating site facility fee |
55 |
49 |
$400.12 |
| 90734 |
|
44 |
44 |
$396.00 |
| 90651 |
|
41 |
41 |
$369.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$322.95 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
14 |
12 |
$116.68 |
| 86580 |
|
29 |
26 |
$83.27 |