| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
59,830 |
52,498 |
$10.63M |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,634 |
1,319 |
$332K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,107 |
23,459 |
$91K |
| 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 |
658 |
568 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,681 |
3,176 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
242 |
215 |
$780.04 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
921 |
861 |
$636.76 |
| 97813 |
|
1,549 |
1,064 |
$390.78 |
| 97814 |
|
1,527 |
1,044 |
$244.98 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
35 |
32 |
$163.24 |
| 97810 |
|
796 |
559 |
$59.78 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
144 |
143 |
$59.18 |
| 99381 |
|
64 |
62 |
$54.40 |
| 90700 |
|
122 |
120 |
$53.87 |
| 97811 |
|
764 |
536 |
$30.04 |
| 97026 |
|
1,233 |
857 |
$9.84 |
| 99000 |
|
151 |
150 |
$3.63 |
| 90648 |
|
164 |
163 |
$0.00 |
| 83655 |
|
164 |
164 |
$0.00 |
| 90707 |
|
68 |
68 |
$0.00 |
| 90734 |
|
24 |
24 |
$0.00 |
| 99173 |
|
239 |
238 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
238 |
238 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
312 |
310 |
$0.00 |
| 3050F |
|
137 |
127 |
$0.00 |
| 90681 |
|
44 |
44 |
$0.00 |
| 90670 |
|
288 |
286 |
$0.00 |
| 90633 |
|
160 |
160 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
36 |
36 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
57 |
$0.00 |
| 81025 |
|
16 |
13 |
$0.00 |
| 90713 |
|
15 |
15 |
$0.00 |
| 3008F |
|
2,361 |
2,143 |
$0.00 |
| Z1034 |
|
199 |
154 |
$0.00 |
| 90686 |
|
468 |
467 |
$0.00 |
| 90647 |
|
66 |
66 |
$0.00 |
| 2001F |
|
2,361 |
2,143 |
$0.00 |
| 92551 |
|
321 |
320 |
$0.00 |
| 1036F |
|
1,887 |
1,704 |
$0.00 |
| 1111F |
|
1,817 |
1,653 |
$0.00 |
| 3049F |
|
299 |
271 |
$0.00 |
| 81005 |
|
198 |
161 |
$0.00 |
| 3048F |
|
422 |
376 |
$0.00 |
| 85018 |
|
535 |
532 |
$0.00 |
| 90680 |
|
76 |
75 |
$0.00 |
| 90723 |
|
196 |
195 |
$0.00 |
| 90716 |
|
68 |
68 |
$0.00 |
| 90651 |
|
24 |
24 |
$0.00 |
| 99383 |
|
17 |
17 |
$0.00 |