| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,512 |
18,738 |
$5.09M |
| 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 |
1,887 |
1,352 |
$87K |
| 82948 |
|
179 |
150 |
$0.00 |
| 99442 |
|
999 |
881 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,135 |
1,960 |
$0.00 |
| 99173 |
|
514 |
509 |
$0.00 |
| 81003 |
|
1,936 |
1,771 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
97 |
97 |
$0.00 |
| 81025 |
|
153 |
150 |
$0.00 |
| 90658 |
|
77 |
76 |
$0.00 |
| 86318 |
|
123 |
123 |
$0.00 |
| 90649 |
|
53 |
53 |
$0.00 |
| 90715 |
|
51 |
50 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
65 |
61 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
32 |
32 |
$0.00 |
| 99421 |
|
213 |
205 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
13 |
$0.00 |
| 69209 |
|
14 |
14 |
$0.00 |
| Z7610 |
|
450 |
390 |
$0.00 |
| 85018 |
|
724 |
707 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,526 |
6,125 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,737 |
1,576 |
$0.00 |
| 92551 |
|
431 |
431 |
$0.00 |
| 90686 |
|
93 |
93 |
$0.00 |
| 99441 |
|
404 |
362 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
227 |
225 |
$0.00 |
| 99422 |
|
370 |
342 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
398 |
330 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
637 |
498 |
$0.00 |
| 86580 |
|
37 |
37 |
$0.00 |
| 94760 |
|
765 |
705 |
$0.00 |
| 90733 |
|
44 |
44 |
$0.00 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
65 |
61 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |