| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
95,261 |
69,262 |
$9.94M |
| 00003 |
Internal/system code - not a standard HCPCS code |
54,437 |
23,495 |
$7.61M |
| 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 |
3,938 |
2,859 |
$135K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,364 |
16,869 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,364 |
1,286 |
$0.00 |
| 90686 |
|
471 |
471 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,521 |
1,814 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 85018 |
|
586 |
583 |
$0.00 |
| 92551 |
|
564 |
564 |
$0.00 |
| Z6406 |
|
152 |
137 |
$0.00 |
| 90688 |
|
566 |
564 |
$0.00 |
| 92250 |
|
105 |
105 |
$0.00 |
| 99460 |
|
18 |
18 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,065 |
779 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
304 |
303 |
$0.00 |
| Z6204 |
|
85 |
71 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
89 |
89 |
$0.00 |
| 90732 |
|
29 |
29 |
$0.00 |
| Z1034 |
|
27 |
25 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
13 |
13 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$0.00 |
| 82962 |
|
14 |
12 |
$0.00 |
| 90647 |
|
25 |
25 |
$0.00 |
| 81003 |
|
670 |
612 |
$0.00 |
| 81025 |
|
205 |
195 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,620 |
1,772 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
17 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,230 |
1,825 |
$0.00 |
| 99173 |
|
569 |
568 |
$0.00 |
| S3000 |
Diabetic indicator; retinal eye exam, dilated, bilateral |
61 |
61 |
$0.00 |
| Z6304 |
|
141 |
129 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
101 |
93 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
13 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
76 |
76 |
$0.00 |
| 90670 |
|
34 |
34 |
$0.00 |
| Z6400 |
|
105 |
86 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
89 |
89 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
66 |
66 |
$0.00 |
| 92015 |
Determination of refractive state |
398 |
397 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
92 |
92 |
$0.00 |
| 90715 |
|
102 |
102 |
$0.00 |
| 98940 |
|
449 |
349 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
34 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
29 |
12 |
$0.00 |
| Z6300 |
|
26 |
26 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |