| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
73,947 |
57,234 |
$10.95M |
| 00003 |
Internal/system code - not a standard HCPCS code |
21,580 |
17,004 |
$4.12M |
| 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 |
3,418 |
2,563 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,126 |
27,990 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,037 |
2,895 |
$12K |
| 98940 |
|
3,683 |
2,404 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,278 |
7,524 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
628 |
628 |
$4K |
| Z7500 |
|
191 |
164 |
$4K |
| 81025 |
|
1,305 |
1,263 |
$683.20 |
| 81003 |
|
4,220 |
3,947 |
$164.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,569 |
4,541 |
$0.00 |
| 85018 |
|
3,658 |
3,616 |
$0.00 |
| 87428 |
|
1,381 |
1,360 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
886 |
813 |
$0.00 |
| 92551 |
|
2,726 |
2,724 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,212 |
885 |
$0.00 |
| 90686 |
|
771 |
770 |
$0.00 |
| 82962 |
|
167 |
160 |
$0.00 |
| 90688 |
|
1,074 |
1,073 |
$0.00 |
| 90656 |
|
84 |
84 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
331 |
266 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
199 |
192 |
$0.00 |
| Z6204 |
|
47 |
37 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
139 |
121 |
$0.00 |
| 90620 |
|
118 |
118 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
39 |
$0.00 |
| 90474 |
|
46 |
46 |
$0.00 |
| 90651 |
|
239 |
239 |
$0.00 |
| 86580 |
|
25 |
25 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
25 |
$0.00 |
| 81000 |
|
16 |
16 |
$0.00 |
| 90674 |
|
17 |
17 |
$0.00 |
| 99384 |
|
13 |
13 |
$0.00 |
| Z6410 |
|
16 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
983 |
982 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,444 |
1,440 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,097 |
1,097 |
$0.00 |
| 90734 |
|
218 |
218 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,204 |
1,187 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,344 |
1,308 |
$0.00 |
| 99173 |
|
2,982 |
2,978 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
546 |
537 |
$0.00 |
| 90648 |
|
37 |
37 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
186 |
186 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
377 |
313 |
$0.00 |
| 90715 |
|
354 |
354 |
$0.00 |
| Z6304 |
|
16 |
15 |
$0.00 |
| 87400 |
|
71 |
70 |
$0.00 |
| Z6400 |
|
62 |
39 |
$0.00 |
| 90658 |
|
103 |
103 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
80 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$0.00 |
| 90633 |
|
21 |
21 |
$0.00 |
| 90670 |
|
48 |
48 |
$0.00 |
| Z6414 |
|
16 |
13 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
26 |
13 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| 90662 |
|
25 |
25 |
$0.00 |