| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
74,141 |
54,360 |
$11.99M |
| 00003 |
Internal/system code - not a standard HCPCS code |
5,218 |
4,389 |
$898K |
| 0012A |
|
420 |
259 |
$12K |
| 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 |
102 |
91 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
294 |
294 |
$6K |
| 0011A |
|
357 |
288 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,129 |
20,087 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,171 |
5,864 |
$4K |
| 0002A |
|
90 |
47 |
$4K |
| 0064A |
|
151 |
125 |
$3K |
| 0001A |
|
93 |
66 |
$2K |
| 0013A |
|
59 |
37 |
$2K |
| 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 |
13 |
13 |
$811.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,090 |
4,839 |
$161.25 |
| A4267 |
Contraceptive supply, condom, male, each |
21 |
21 |
$129.36 |
| 99215 |
Prolong outpt/office vis |
1,424 |
1,389 |
$108.68 |
| 99000 |
|
450 |
405 |
$81.78 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
275 |
266 |
$70.93 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,058 |
1,051 |
$37.39 |
| 81025 |
|
393 |
387 |
$30.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,634 |
1,629 |
$22.00 |
| 90658 |
|
1,260 |
1,254 |
$17.00 |
| 90633 |
|
580 |
578 |
$9.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,918 |
2,886 |
$4.46 |
| 88142 |
|
57 |
54 |
$3.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,012 |
997 |
$3.51 |
| 1159F |
|
13,932 |
12,507 |
$3.50 |
| 1160F |
|
13,575 |
12,170 |
$3.50 |
| 82948 |
|
2,886 |
2,638 |
$2.71 |
| 81002 |
|
4,420 |
3,621 |
$2.15 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
227 |
220 |
$2.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
187 |
113 |
$0.17 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
700 |
685 |
$0.02 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
813 |
807 |
$0.00 |
| 90715 |
|
798 |
798 |
$0.00 |
| Z6200 |
|
85 |
85 |
$0.00 |
| Z6400 |
|
431 |
425 |
$0.00 |
| 90461 |
|
1,597 |
1,590 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,876 |
2,832 |
$0.00 |
| 0502F |
|
401 |
356 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
222 |
222 |
$0.00 |
| Z6414 |
|
60 |
48 |
$0.00 |
| 99173 |
|
2,691 |
2,684 |
$0.00 |
| 3078F |
|
1,819 |
1,755 |
$0.00 |
| 90648 |
|
550 |
547 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
1,199 |
1,061 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
793 |
789 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
315 |
314 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
460 |
460 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
691 |
689 |
$0.00 |
| D0190 |
|
228 |
227 |
$0.00 |
| 90710 |
|
255 |
253 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
297 |
297 |
$0.00 |
| 90700 |
|
78 |
78 |
$0.00 |
| Z6300 |
|
71 |
71 |
$0.00 |
| 90655 |
|
132 |
132 |
$0.00 |
| Z6500 |
|
114 |
114 |
$0.00 |
| 83655 |
|
144 |
143 |
$0.00 |
| 90670 |
|
724 |
721 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
259 |
258 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
331 |
330 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
25 |
25 |
$0.00 |
| 90681 |
|
24 |
24 |
$0.00 |
| 2028F |
|
55 |
55 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
35 |
35 |
$0.00 |
| PROP5 |
|
53 |
46 |
$0.00 |
| 3077F |
|
162 |
154 |
$0.00 |
| 3046F |
|
57 |
55 |
$0.00 |
| 90671 |
|
135 |
135 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
58 |
57 |
$0.00 |
| 99408 |
|
107 |
107 |
$0.00 |
| 98940 |
|
16 |
12 |
$0.00 |
| 0004A |
|
21 |
21 |
$0.00 |
| Z6304 |
|
73 |
73 |
$0.00 |
| 90734 |
|
87 |
87 |
$0.00 |
| 90685 |
|
60 |
60 |
$0.00 |
| D9993 |
|
12 |
12 |
$0.00 |
| 76802 |
|
33 |
31 |
$0.00 |
| 90679 |
|
12 |
12 |
$0.00 |
| 90750 |
|
13 |
13 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 82274 |
|
15 |
14 |
$0.00 |
| 90723 |
|
665 |
664 |
$0.00 |
| 1126F |
|
1,958 |
1,899 |
$0.00 |
| 3074F |
|
1,748 |
1,695 |
$0.00 |
| 99429 |
|
106 |
105 |
$0.00 |
| 90686 |
|
645 |
642 |
$0.00 |
| Z1034 |
|
3,809 |
2,868 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
271 |
270 |
$0.00 |
| 90647 |
|
241 |
241 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,938 |
1,722 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
54 |
54 |
$0.00 |
| Z1038 |
|
29 |
25 |
$0.00 |
| 3075F |
|
282 |
273 |
$0.00 |
| Z6410 |
|
4,041 |
3,434 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$0.00 |
| 90656 |
|
56 |
56 |
$0.00 |
| 3044F |
|
263 |
257 |
$0.00 |
| 85018 |
|
2,140 |
2,125 |
$0.00 |
| 1170F |
|
348 |
344 |
$0.00 |
| D1310 |
|
12 |
12 |
$0.00 |
| 90651 |
|
322 |
322 |
$0.00 |
| 3008F |
|
318 |
304 |
$0.00 |
| 90680 |
|
182 |
181 |
$0.00 |
| 36416 |
|
55 |
55 |
$0.00 |
| Z1032 |
|
66 |
66 |
$0.00 |
| 1125F |
|
171 |
169 |
$0.00 |
| 90620 |
|
87 |
87 |
$0.00 |
| 76801 |
|
469 |
450 |
$0.00 |
| 92551 |
|
661 |
657 |
$0.00 |
| 3079F |
|
422 |
404 |
$0.00 |
| Z6204 |
|
72 |
72 |
$0.00 |
| 86580 |
|
60 |
59 |
$0.00 |
| 3080F |
|
26 |
25 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| Z6406 |
|
49 |
49 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
43 |
42 |
$0.00 |
| Z6402 |
|
71 |
71 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
26 |
25 |
$0.00 |
| 91301 |
|
45 |
44 |
$0.00 |
| D1330 |
|
12 |
12 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17 |
17 |
$0.00 |
| 4010F |
|
14 |
13 |
$0.00 |