| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
53,531 |
36,186 |
$7.89M |
| 00003 |
Internal/system code - not a standard HCPCS code |
3,775 |
2,518 |
$744K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,327 |
32,757 |
$489K |
| 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 |
5,096 |
3,499 |
$279K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,572 |
6,057 |
$107K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
3,208 |
2,256 |
$50K |
| 0012A |
|
708 |
393 |
$32K |
| 0064A |
|
425 |
245 |
$19K |
| 0011A |
|
632 |
424 |
$18K |
| 90688 |
|
1,586 |
1,457 |
$17K |
| 0001A |
|
303 |
157 |
$14K |
| 87428 |
|
454 |
317 |
$14K |
| 0002A |
|
291 |
150 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,230 |
3,975 |
$10K |
| 0071A |
|
100 |
51 |
$5K |
| 0004A |
|
102 |
53 |
$4K |
| 92551 |
|
893 |
807 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
212 |
194 |
$3K |
| 0031A |
|
58 |
35 |
$2K |
| 0072A |
|
42 |
22 |
$2K |
| 85018 |
|
1,049 |
947 |
$2K |
| 99173 |
|
923 |
841 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
196 |
166 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
77 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
81 |
$1K |
| 90686 |
|
185 |
168 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
252 |
234 |
$1K |
| 90715 |
|
60 |
55 |
$818.01 |
| 81003 |
|
805 |
678 |
$775.26 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18 |
14 |
$375.75 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
481 |
459 |
$374.68 |
| 90658 |
|
80 |
80 |
$216.42 |
| 96156 |
|
15 |
12 |
$154.22 |
| 86580 |
|
21 |
16 |
$54.35 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
25 |
25 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
136 |
106 |
$0.00 |
| 87400 |
|
51 |
50 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 90662 |
|
38 |
38 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,351 |
1,550 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
81 |
70 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
59 |
59 |
$0.00 |