| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
116,212 |
57,263 |
$28.59M |
| T1015 |
Clinic visit/encounter, all-inclusive |
86,505 |
73,856 |
$16.55M |
| 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 |
3,471 |
3,150 |
$140K |
| 0012A |
|
466 |
263 |
$22K |
| 0011A |
|
358 |
235 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,596 |
16,684 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,629 |
23,232 |
$6K |
| 0002A |
|
53 |
29 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
369 |
348 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
554 |
543 |
$1K |
| 0001A |
|
52 |
32 |
$1K |
| 87428 |
|
139 |
121 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
686 |
645 |
$294.56 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
299 |
297 |
$57.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,711 |
4,687 |
$4.46 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
6,618 |
4,506 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,004 |
1,409 |
$0.00 |
| 85018 |
|
916 |
913 |
$0.00 |
| 90686 |
|
54 |
54 |
$0.00 |
| 90688 |
|
1,637 |
1,635 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
124 |
124 |
$0.00 |
| 82962 |
|
1,330 |
1,297 |
$0.00 |
| 90732 |
|
30 |
30 |
$0.00 |
| 92551 |
|
150 |
148 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
30 |
$0.00 |
| 90656 |
|
29 |
29 |
$0.00 |
| 93000 |
|
13 |
13 |
$0.00 |
| 90746 |
|
89 |
89 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
781 |
779 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
126 |
126 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 90715 |
|
239 |
239 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
134 |
134 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
358 |
358 |
$0.00 |
| 81003 |
|
458 |
446 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,646 |
1,373 |
$0.00 |
| Z6400 |
|
30 |
26 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
48 |
48 |
$0.00 |
| 99173 |
|
317 |
315 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$0.00 |
| 90658 |
|
145 |
145 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
39 |
$0.00 |
| 90662 |
|
18 |
18 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
34 |
26 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
14 |
14 |
$0.00 |
| 90785 |
|
13 |
13 |
$0.00 |
| 98940 |
|
18 |
13 |
$0.00 |