| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
67,143 |
58,331 |
$7.76M |
| 00003 |
Internal/system code - not a standard HCPCS code |
21,225 |
17,246 |
$3.89M |
| 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 |
1,099 |
933 |
$60K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,729 |
5,544 |
$51K |
| 98940 |
|
1,992 |
1,460 |
$14K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
920 |
655 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
626 |
606 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,030 |
10,289 |
$2K |
| V2020 |
Frames, purchases |
3,098 |
3,076 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,245 |
2,228 |
$911.33 |
| 92015 |
Determination of refractive state |
6,353 |
6,310 |
$432.60 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,150 |
1,064 |
$243.28 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,686 |
3,409 |
$225.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,408 |
1,312 |
$181.12 |
| 92341 |
|
387 |
384 |
$114.48 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
28 |
$6.15 |
| 99000 |
|
56 |
56 |
$3.63 |
| 81005 |
|
119 |
111 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
222 |
158 |
$0.00 |
| 3079F |
|
299 |
290 |
$0.00 |
| 3048F |
|
527 |
511 |
$0.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
204 |
143 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
2,003 |
1,920 |
$0.00 |
| 1036F |
|
947 |
897 |
$0.00 |
| 3074F |
|
441 |
427 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,033 |
528 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,585 |
946 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
104 |
104 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
26 |
24 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
322 |
109 |
$0.00 |
| 1111F |
|
988 |
951 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
51 |
51 |
$0.00 |
| 92551 |
|
76 |
76 |
$0.00 |
| 2001F |
|
1,375 |
1,296 |
$0.00 |
| 3008F |
|
1,374 |
1,295 |
$0.00 |
| 96127 |
|
146 |
139 |
$0.00 |
| 90686 |
|
91 |
91 |
$0.00 |
| 3044F |
|
44 |
43 |
$0.00 |
| 3075F |
|
81 |
80 |
$0.00 |
| 3049F |
|
260 |
239 |
$0.00 |
| 85018 |
|
167 |
165 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
666 |
640 |
$0.00 |
| 81000 |
|
21 |
19 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
51 |
47 |
$0.00 |
| 1034F |
|
13 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
556 |
547 |
$0.00 |
| 3078F |
|
364 |
355 |
$0.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
483 |
287 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
124 |
115 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
113 |
108 |
$0.00 |
| 3050F |
|
154 |
142 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
607 |
585 |
$0.00 |
| 99173 |
|
88 |
88 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
150 |
149 |
$0.00 |
| 3077F |
|
82 |
77 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
26 |
24 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
81 |
76 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |