| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
15,507 |
11,424 |
$8.32M |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,935 |
5,858 |
$3.90M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,961 |
2,663 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,209 |
2,038 |
$55K |
| 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 |
55 |
50 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
69 |
$3K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
170 |
167 |
$798.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
672 |
647 |
$65.01 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
116 |
112 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
211 |
209 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
84 |
57 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
26 |
26 |
$0.00 |
| 87807 |
|
17 |
17 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$0.00 |
| 85018 |
|
15 |
12 |
$0.00 |
| 81003 |
|
124 |
99 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
49 |
49 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$0.00 |