| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
103,855 |
91,431 |
$22.12M |
| 00003 |
Internal/system code - not a standard HCPCS code |
20,574 |
17,996 |
$5.92M |
| 0012A |
|
588 |
588 |
$39K |
| 0011A |
|
578 |
578 |
$39K |
| 0001A |
|
406 |
406 |
$27K |
| 0002A |
|
365 |
365 |
$24K |
| 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 |
593 |
542 |
$19K |
| 0064A |
|
197 |
197 |
$13K |
| G9920 |
Screening performed and negative |
1,043 |
1,006 |
$12K |
| 0072A |
|
154 |
154 |
$10K |
| 0071A |
|
150 |
150 |
$10K |
| 90686 |
|
3,246 |
3,149 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
549 |
541 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
450 |
439 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
926 |
920 |
$9K |
| 0004A |
|
125 |
125 |
$8K |
| 92551 |
|
3,404 |
3,344 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
652 |
648 |
$8K |
| 0054A |
|
91 |
91 |
$6K |
| 85018 |
|
6,473 |
6,286 |
$4K |
| 0124A |
|
64 |
64 |
$4K |
| 0031A |
|
68 |
68 |
$4K |
| 0134A |
|
59 |
59 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,864 |
3,750 |
$4K |
| 97810 |
|
555 |
249 |
$3K |
| 97811 |
|
416 |
191 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,138 |
24,247 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,317 |
15,759 |
$2K |
| 92552 |
|
260 |
251 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,157 |
622 |
$858.63 |
| 90670 |
|
91 |
90 |
$775.59 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,746 |
3,652 |
$567.42 |
| G9919 |
Screening performed and positive and provision of recommendations |
67 |
67 |
$464.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,539 |
2,015 |
$374.12 |
| 99173 |
|
2,689 |
2,633 |
$286.11 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
313 |
307 |
$204.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,530 |
5,115 |
$179.92 |
| 90750 |
|
54 |
52 |
$164.81 |
| 90647 |
|
38 |
38 |
$137.64 |
| 99000 |
|
2,734 |
2,577 |
$117.73 |
| 90633 |
|
13 |
13 |
$117.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
193 |
191 |
$96.96 |
| 92082 |
|
203 |
196 |
$29.13 |
| 90688 |
|
198 |
191 |
$23.63 |
| 36415 |
Collection of venous blood by venipuncture |
8,192 |
8,069 |
$8.40 |
| 92015 |
Determination of refractive state |
940 |
933 |
$8.01 |
| Z6410 |
|
185 |
173 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
415 |
410 |
$0.00 |
| 82962 |
|
15 |
12 |
$0.00 |
| 90656 |
|
120 |
120 |
$0.00 |
| Z6204 |
|
12 |
12 |
$0.00 |
| 90651 |
|
266 |
265 |
$0.00 |
| 90619 |
|
43 |
43 |
$0.00 |
| 90739 |
|
30 |
30 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 90461 |
|
1,228 |
1,206 |
$0.00 |
| Z6400 |
|
395 |
357 |
$0.00 |
| 90682 |
|
14 |
14 |
$0.00 |
| 90734 |
|
24 |
24 |
$0.00 |
| 1158F |
|
580 |
570 |
$0.00 |
| 81025 |
|
127 |
122 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$0.00 |
| 59425 |
|
14 |
12 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
159 |
78 |
$0.00 |
| 90715 |
|
210 |
207 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
27 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
42 |
$0.00 |
| 81002 |
|
26 |
25 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
31 |
$0.00 |
| Z6414 |
|
18 |
13 |
$0.00 |