| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
40,736 |
37,718 |
$17.23M |
| T1015 |
Clinic visit/encounter, all-inclusive |
11,337 |
8,526 |
$3.07M |
| G9012 |
Other specified case management service not elsewhere classified |
1,262 |
341 |
$625K |
| 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 |
468 |
373 |
$46K |
| 90837 |
Psychotherapy, 53 minutes with patient |
306 |
87 |
$35K |
| 90832 |
Psychotherapy, 30 minutes with patient |
273 |
88 |
$19K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
110 |
78 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,822 |
5,458 |
$14K |
| 90834 |
Psychotherapy, 45 minutes with patient |
163 |
61 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
882 |
646 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
101 |
$228.80 |
| 80305 |
|
168 |
126 |
$227.43 |
| 0064A |
|
13 |
12 |
$134.00 |
| 90480 |
|
12 |
12 |
$120.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
48 |
37 |
$25.62 |
| 90686 |
|
44 |
34 |
$23.49 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
446 |
318 |
$22.30 |
| 90688 |
|
56 |
41 |
$15.00 |
| 90658 |
|
22 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
40 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
46 |
26 |
$0.00 |