| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
23,254 |
15,695 |
$7.58M |
| 00003 |
Internal/system code - not a standard HCPCS code |
9,016 |
6,461 |
$4.92M |
| 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 |
227 |
183 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
103 |
93 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
241 |
$821.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,397 |
1,276 |
$629.61 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
901 |
841 |
$199.56 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22 |
22 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
34 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
78 |
64 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$0.00 |