| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,729 |
13,063 |
$3.54M |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
1,387 |
1,371 |
$481K |
| G9012 |
Other specified case management service not elsewhere classified |
1,456 |
954 |
$348K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,604 |
6,962 |
$35K |
| H0043 |
Supported housing, per diem |
49 |
47 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,460 |
2,507 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,497 |
3,741 |
$16K |
| 90750 |
|
179 |
127 |
$5K |
| 90739 |
|
188 |
129 |
$4K |
| 00003 |
Internal/system code - not a standard HCPCS code |
12 |
12 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,323 |
1,606 |
$1K |
| 92250 |
|
2,102 |
2,010 |
$957.84 |
| 90686 |
|
402 |
288 |
$711.76 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
629 |
465 |
$448.29 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
14 |
$263.15 |
| 90656 |
|
80 |
54 |
$149.92 |
| 90715 |
|
65 |
41 |
$79.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
23 |
21 |
$22.30 |
| 85018 |
|
640 |
538 |
$20.35 |
| 82948 |
|
860 |
623 |
$9.92 |
| 81002 |
|
593 |
503 |
$1.72 |
| 82962 |
|
1,436 |
1,017 |
$0.00 |
| 92551 |
|
352 |
275 |
$0.00 |
| 4010F |
|
33 |
32 |
$0.00 |
| 93000 |
|
166 |
150 |
$0.00 |
| 3008F |
|
146 |
135 |
$0.00 |
| 36416 |
|
303 |
238 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| 1036F |
|
162 |
152 |
$0.00 |
| 2010F |
|
70 |
65 |
$0.00 |
| 90688 |
|
103 |
98 |
$0.00 |
| 2001F |
|
66 |
61 |
$0.00 |
| 3079F |
|
22 |
21 |
$0.00 |
| 3080F |
|
15 |
14 |
$0.00 |
| 4037F |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |
| 3074F |
|
32 |
31 |
$0.00 |
| 1160F |
|
80 |
77 |
$0.00 |
| 3078F |
|
33 |
32 |
$0.00 |
| 1159F |
|
80 |
77 |
$0.00 |
| 99173 |
|
40 |
26 |
$0.00 |
| 4274F |
|
52 |
48 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 3077F |
|
25 |
24 |
$0.00 |