| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
360,222 |
336,893 |
$49.68M |
| 00003 |
Internal/system code - not a standard HCPCS code |
31,280 |
29,116 |
$6.95M |
| 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 |
15,435 |
13,588 |
$588K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75,460 |
72,927 |
$278K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84,736 |
81,437 |
$196K |
| 99215 |
Prolong outpt/office vis |
7,245 |
7,124 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32,502 |
31,055 |
$42K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
246 |
242 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,416 |
1,338 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,233 |
1,228 |
$844.30 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,172 |
931 |
$702.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,495 |
1,492 |
$549.12 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,065 |
2,062 |
$504.77 |
| 90686 |
|
3,343 |
3,342 |
$67.03 |
| 91322 |
|
14 |
14 |
$43.80 |
| 92551 |
|
4,247 |
4,240 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
990 |
988 |
$0.00 |
| Z1034 |
|
6,673 |
5,834 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,139 |
8,111 |
$0.00 |
| 51798 |
|
530 |
526 |
$0.00 |
| 90723 |
|
1,965 |
1,908 |
$0.00 |
| 90697 |
|
1,018 |
1,013 |
$0.00 |
| 90680 |
|
762 |
708 |
$0.00 |
| 90474 |
|
85 |
85 |
$0.00 |
| 90677 |
|
938 |
933 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
285 |
199 |
$0.00 |
| 90647 |
|
1,739 |
1,698 |
$0.00 |
| 88720 |
|
654 |
590 |
$0.00 |
| 31231 |
|
374 |
368 |
$0.00 |
| 99443 |
|
138 |
136 |
$0.00 |
| 20610 |
|
175 |
167 |
$0.00 |
| 52000 |
|
88 |
88 |
$0.00 |
| 51705 |
|
12 |
12 |
$0.00 |
| 99243 |
|
78 |
77 |
$0.00 |
| Z1032 |
|
264 |
263 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
24 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| Z1038 |
|
76 |
72 |
$0.00 |
| Z6410 |
|
249 |
180 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
196 |
196 |
$0.00 |
| 20553 |
|
125 |
125 |
$0.00 |
| Z6406 |
|
13 |
13 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
208 |
202 |
$0.00 |
| Z6204 |
|
25 |
25 |
$0.00 |
| 99241 |
|
42 |
42 |
$0.00 |
| 82962 |
|
217 |
210 |
$0.00 |
| Z6402 |
|
86 |
86 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
70 |
70 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
114 |
114 |
$0.00 |
| 90716 |
|
53 |
53 |
$0.00 |
| 90651 |
|
68 |
68 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
89 |
89 |
$0.00 |
| 86580 |
|
24 |
24 |
$0.00 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
558 |
484 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,410 |
8,609 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,911 |
5,906 |
$0.00 |
| 99173 |
|
4,623 |
4,620 |
$0.00 |
| Z6200 |
|
86 |
86 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
209 |
205 |
$0.00 |
| 90633 |
|
902 |
901 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,566 |
1,566 |
$0.00 |
| 90473 |
|
72 |
70 |
$0.00 |
| 90670 |
|
1,106 |
1,067 |
$0.00 |
| 81002 |
|
250 |
224 |
$0.00 |
| Z6300 |
|
86 |
86 |
$0.00 |
| Z6400 |
|
56 |
56 |
$0.00 |
| Z6414 |
|
36 |
24 |
$0.00 |
| 99442 |
|
238 |
233 |
$0.00 |
| 11721 |
|
472 |
465 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
178 |
136 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
254 |
254 |
$0.00 |
| 31575 |
|
320 |
319 |
$0.00 |
| 81025 |
|
982 |
973 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
308 |
266 |
$0.00 |
| 90681 |
|
634 |
633 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
14 |
$0.00 |
| 90380 |
|
30 |
30 |
$0.00 |
| G9920 |
Screening performed and negative |
238 |
238 |
$0.00 |
| 90750 |
|
258 |
258 |
$0.00 |
| 90715 |
|
108 |
108 |
$0.00 |
| 20611 |
|
12 |
12 |
$0.00 |
| 92552 |
|
53 |
53 |
$0.00 |
| 59025 |
Fetal non-stress test |
132 |
91 |
$0.00 |
| 99188 |
|
33 |
33 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
60 |
60 |
$0.00 |
| 51702 |
|
14 |
14 |
$0.00 |
| Z6412 |
|
89 |
67 |
$0.00 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
17 |
15 |
$0.00 |
| 90707 |
|
40 |
40 |
$0.00 |
| 0004A |
|
63 |
63 |
$0.00 |
| 92134 |
|
97 |
96 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
102 |
100 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
68 |
31 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| Z6304 |
|
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
20 |
20 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
13 |
13 |
$0.00 |
| 92083 |
|
12 |
12 |
$0.00 |