| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,988 |
11,644 |
$8.55M |
| 00003 |
Internal/system code - not a standard HCPCS code |
5,909 |
4,339 |
$2.87M |
| 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 |
1,085 |
830 |
$363K |
| 0011A |
|
127 |
127 |
$4K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
106 |
67 |
$3K |
| 0012A |
|
93 |
93 |
$3K |
| 0064A |
|
21 |
21 |
$840.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,185 |
5,292 |
$425.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
591 |
517 |
$108.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,375 |
3,819 |
$106.46 |
| 81002 |
|
178 |
164 |
$0.00 |
| 85014 |
|
103 |
102 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
79 |
38 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
87 |
77 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99173 |
|
140 |
129 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 92552 |
|
67 |
67 |
$0.00 |
| 82948 |
|
51 |
51 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
62 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
67 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18 |
18 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,157 |
553 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
754 |
718 |
$0.00 |
| 81000 |
|
49 |
49 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
400 |
376 |
$0.00 |
| 90686 |
|
63 |
62 |
$0.00 |
| 82962 |
|
107 |
95 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
48 |
24 |
$0.00 |
| 36416 |
|
18 |
18 |
$0.00 |
| 91301 |
|
20 |
20 |
$0.00 |