| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
64,454 |
46,702 |
$6.80M |
| 00003 |
Internal/system code - not a standard HCPCS code |
40,176 |
18,298 |
$5.73M |
| 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 |
2,939 |
2,102 |
$108K |
| 0001A |
|
1,094 |
611 |
$49K |
| 0002A |
|
1,028 |
576 |
$46K |
| 0012A |
|
886 |
583 |
$39K |
| 0011A |
|
911 |
600 |
$31K |
| 0064A |
|
344 |
232 |
$15K |
| 0071A |
|
193 |
100 |
$9K |
| 0004A |
|
178 |
109 |
$8K |
| 0031A |
|
153 |
95 |
$7K |
| 0072A |
|
123 |
63 |
$6K |
| 0013A |
|
67 |
43 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,879 |
10,626 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
223 |
223 |
$0.00 |
| 81003 |
|
1,611 |
1,550 |
$0.00 |
| 81025 |
|
284 |
278 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,072 |
1,618 |
$0.00 |
| 1159F |
|
309 |
290 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
215 |
215 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
37 |
$0.00 |
| 90736 |
|
52 |
52 |
$0.00 |
| 90715 |
|
76 |
76 |
$0.00 |
| 99173 |
|
818 |
817 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
105 |
105 |
$0.00 |
| 90670 |
|
33 |
33 |
$0.00 |
| 3078F |
|
264 |
247 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
68 |
64 |
$0.00 |
| 3725F |
|
216 |
203 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
27 |
$0.00 |
| 90644 |
|
13 |
13 |
$0.00 |
| 1160F |
|
309 |
290 |
$0.00 |
| 90630 |
|
15 |
15 |
$0.00 |
| 90649 |
|
25 |
25 |
$0.00 |
| 1036F |
|
247 |
230 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,594 |
8,654 |
$0.00 |
| 82962 |
|
259 |
244 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,223 |
1,613 |
$0.00 |
| 85018 |
|
1,265 |
1,257 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,855 |
2,606 |
$0.00 |
| 3008F |
|
320 |
298 |
$0.00 |
| 90688 |
|
697 |
692 |
$0.00 |
| 90686 |
|
349 |
347 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
62 |
62 |
$0.00 |
| 1126F |
|
125 |
119 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
123 |
123 |
$0.00 |
| 3074F |
|
251 |
234 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
28 |
28 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
93 |
75 |
$0.00 |
| 92551 |
|
755 |
755 |
$0.00 |
| J3490 |
Unclassified drugs |
26 |
26 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
31 |
$0.00 |
| 1125F |
|
38 |
36 |
$0.00 |
| 90732 |
|
18 |
18 |
$0.00 |
| 86580 |
|
19 |
17 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
17 |
17 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
13 |
$0.00 |