| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,900 |
15,493 |
$2.19M |
| 00003 |
Internal/system code - not a standard HCPCS code |
225 |
225 |
$29K |
| G9012 |
Other specified case management service not elsewhere classified |
420 |
223 |
$13K |
| 98940 |
|
157 |
117 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$0.10 |
| 92015 |
Determination of refractive state |
370 |
367 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
158 |
156 |
$0.00 |
| 90655 |
|
27 |
27 |
$0.00 |
| 81002 |
|
121 |
106 |
$0.00 |
| 99173 |
|
203 |
203 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
454 |
441 |
$0.00 |
| 90633 |
|
42 |
42 |
$0.00 |
| D0190 |
|
227 |
227 |
$0.00 |
| 1159F |
|
2,414 |
2,146 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
433 |
411 |
$0.00 |
| 1160F |
|
2,417 |
2,149 |
$0.00 |
| 90658 |
|
148 |
148 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
579 |
472 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
74 |
$0.00 |
| 90670 |
|
96 |
94 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
35 |
35 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$0.00 |
| PROP5 |
|
28 |
20 |
$0.00 |
| 90715 |
|
28 |
28 |
$0.00 |
| VSY5 |
|
58 |
55 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 3725F |
|
36 |
35 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$0.00 |
| 92002 |
|
262 |
261 |
$0.00 |
| 85018 |
|
143 |
139 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,704 |
3,049 |
$0.00 |
| 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 |
177 |
152 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
184 |
181 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
458 |
434 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
261 |
261 |
$0.00 |
| 90723 |
|
28 |
28 |
$0.00 |
| 99241 |
|
149 |
148 |
$0.00 |
| 90686 |
|
58 |
58 |
$0.00 |
| 99000 |
|
17 |
17 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
115 |
113 |
$0.00 |
| 1126F |
|
30 |
29 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
15 |
$0.00 |
| 99429 |
|
20 |
19 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
23 |
22 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
14 |
13 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16 |
13 |
$0.00 |