| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,785 |
13,617 |
$2.53M |
| 00003 |
Internal/system code - not a standard HCPCS code |
3,866 |
3,653 |
$879K |
| 0011A |
|
262 |
262 |
$18K |
| 0012A |
|
254 |
254 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
549 |
247 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,626 |
8,281 |
$12K |
| 0002A |
|
100 |
100 |
$7K |
| 0001A |
|
99 |
99 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,093 |
3,343 |
$5K |
| 0071A |
|
65 |
65 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
92 |
52 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
73 |
39 |
$3K |
| 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 |
44 |
37 |
$3K |
| 0064A |
|
33 |
33 |
$2K |
| 0031A |
|
33 |
33 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,002 |
1,749 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
567 |
391 |
$2K |
| 0072A |
|
29 |
29 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
216 |
145 |
$700.05 |
| 99385 |
|
16 |
12 |
$251.02 |
| 90739 |
|
16 |
12 |
$204.00 |
| 99215 |
Prolong outpt/office vis |
156 |
91 |
$185.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
445 |
317 |
$141.49 |
| 90686 |
|
269 |
236 |
$67.00 |
| 90656 |
|
51 |
33 |
$18.00 |
| 85018 |
|
26 |
14 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
143 |
103 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
19 |
13 |
$0.00 |