| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
96,186 |
78,074 |
$16.12M |
| 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 |
25,754 |
21,995 |
$295K |
| 00003 |
Internal/system code - not a standard HCPCS code |
240 |
240 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108,899 |
72,150 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,553 |
1,580 |
$6K |
| 93000 |
|
302 |
301 |
$5K |
| 96156 |
|
7,558 |
4,960 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,173 |
713 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,169 |
4,977 |
$1K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
25 |
25 |
$865.99 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,629 |
8,486 |
$841.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,774 |
9,255 |
$415.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,313 |
2,046 |
$233.20 |
| 82948 |
|
7,803 |
5,578 |
$211.76 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12,715 |
9,145 |
$84.00 |
| 96127 |
|
3,404 |
2,862 |
$65.40 |
| V5008 |
Hearing screening |
815 |
787 |
$53.85 |
| 90674 |
|
40 |
40 |
$33.49 |
| 92551 |
|
2,195 |
2,020 |
$33.10 |
| 99406 |
|
4,274 |
3,373 |
$30.09 |
| 3074F |
|
51,484 |
38,774 |
$29.51 |
| 81003 |
|
1,516 |
1,408 |
$20.00 |
| 82947 |
|
6,569 |
5,667 |
$19.44 |
| 99173 |
|
3,445 |
3,182 |
$15.99 |
| 99000 |
|
748 |
736 |
$3.59 |
| 81002 |
|
2,482 |
2,104 |
$2.15 |
| 85018 |
|
2,849 |
2,349 |
$2.07 |
| 3078F |
|
27,757 |
21,385 |
$0.01 |
| 3077F |
|
13,244 |
10,697 |
$0.01 |
| 1125F |
|
28,455 |
22,176 |
$0.01 |
| 1039F |
|
3,465 |
2,712 |
$0.00 |
| 1159F |
|
14,209 |
11,718 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,923 |
4,251 |
$0.00 |
| 1160F |
|
66,082 |
49,015 |
$0.00 |
| 3088F |
|
225 |
201 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,856 |
1,611 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
73 |
38 |
$0.00 |
| 3050F |
|
949 |
788 |
$0.00 |
| 92552 |
|
278 |
167 |
$0.00 |
| G9920 |
Screening performed and negative |
432 |
391 |
$0.00 |
| 90661 |
|
14 |
14 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
289 |
113 |
$0.00 |
| 3090F |
|
27 |
27 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
40 |
$0.00 |
| 99442 |
|
24 |
13 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
469 |
385 |
$0.00 |
| 4004F |
|
252 |
241 |
$0.00 |
| 1090F |
|
90 |
85 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$0.00 |
| 3089F |
|
27 |
26 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
22 |
12 |
$0.00 |
| 90658 |
|
103 |
101 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
58 |
58 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
30 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
99 |
79 |
$0.00 |
| 3015F |
|
24 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 3008F |
|
74,432 |
55,210 |
$0.00 |
| 3079F |
|
41,446 |
32,140 |
$0.00 |
| 1036F |
|
62,862 |
46,859 |
$0.00 |
| 1034F |
|
10,452 |
7,861 |
$0.00 |
| 1126F |
|
45,969 |
35,075 |
$0.00 |
| 3044F |
|
1,766 |
1,499 |
$0.00 |
| 3080F |
|
5,033 |
4,236 |
$0.00 |
| 1000F |
|
73,789 |
54,806 |
$0.00 |
| 3011F |
|
6,789 |
5,745 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
326 |
218 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,116 |
832 |
$0.00 |
| 3075F |
|
9,786 |
7,913 |
$0.00 |
| 90688 |
|
1,803 |
1,602 |
$0.00 |
| 0001F |
|
1,253 |
968 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
243 |
242 |
$0.00 |
| 3049F |
|
805 |
678 |
$0.00 |
| 3048F |
|
522 |
468 |
$0.00 |
| 86580 |
|
51 |
41 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
251 |
204 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,575 |
1,447 |
$0.00 |
| 1038F |
|
101 |
95 |
$0.00 |
| 4245F |
|
175 |
165 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
57 |
53 |
$0.00 |
| 82962 |
|
100 |
95 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
286 |
194 |
$0.00 |
| 90686 |
|
31 |
17 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
40 |
40 |
$0.00 |
| 1101F |
|
177 |
166 |
$0.00 |