| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
53,769 |
45,324 |
$5.36M |
| 00003 |
Internal/system code - not a standard HCPCS code |
5,109 |
2,695 |
$821K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,164 |
16,361 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,953 |
6,648 |
$14K |
| 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 |
84 |
76 |
$8K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
171 |
112 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
74 |
73 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
554 |
523 |
$3K |
| 90750 |
|
33 |
25 |
$2K |
| 90739 |
|
186 |
171 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,660 |
5,307 |
$2K |
| 90677 |
|
33 |
28 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,380 |
1,856 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
327 |
304 |
$941.30 |
| 3078F |
|
803 |
768 |
$811.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,843 |
2,697 |
$779.47 |
| 90686 |
|
298 |
280 |
$640.35 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
251 |
220 |
$519.51 |
| 0134A |
|
12 |
12 |
$348.00 |
| 90715 |
|
75 |
67 |
$248.84 |
| 90746 |
|
17 |
15 |
$224.52 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
169 |
159 |
$198.71 |
| 99000 |
|
631 |
556 |
$195.63 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
119 |
115 |
$147.71 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
791 |
755 |
$139.22 |
| 99385 |
|
14 |
13 |
$114.10 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
98 |
88 |
$92.98 |
| 90658 |
|
85 |
78 |
$86.10 |
| 90734 |
|
14 |
14 |
$63.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
40 |
36 |
$42.70 |
| 90688 |
|
40 |
38 |
$31.30 |
| 81025 |
|
110 |
102 |
$16.80 |
| 3079F |
|
84 |
81 |
$9.00 |
| 85018 |
|
61 |
55 |
$6.21 |
| 3074F |
|
1,029 |
980 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
429 |
391 |
$0.00 |
| 90656 |
|
50 |
50 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
16 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
16 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
209 |
201 |
$0.00 |
| 81002 |
|
81 |
76 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
89 |
89 |
$0.00 |
| 99188 |
|
41 |
40 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
41 |
$0.00 |