| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0520 |
|
37,254 |
32,319 |
$19.08M |
| 00003 |
Internal/system code - not a standard HCPCS code |
18,876 |
15,121 |
$10.56M |
| 0900 |
|
19,600 |
7,511 |
$3.95M |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,570 |
1,735 |
$1.75M |
| 0561 |
|
2,861 |
1,531 |
$1.61M |
| 0940 |
|
2,127 |
1,214 |
$1.06M |
| 0521 |
|
38,877 |
29,371 |
$645K |
| 0510 |
|
108 |
105 |
$64K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
83 |
67 |
$42K |
| 98940 |
|
29 |
25 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
27 |
25 |
$19K |
| 0064A |
|
291 |
152 |
$14K |
| 0012A |
|
346 |
344 |
$13K |
| 0011A |
|
373 |
363 |
$13K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
16 |
15 |
$12K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$6K |
| 0134A |
|
14 |
14 |
$938.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
529 |
465 |
$111.13 |
| 0471 |
|
1,918 |
1,901 |
$0.00 |
| 0636 |
|
8,342 |
4,194 |
$0.00 |
| 0771 |
|
8,401 |
3,060 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
384 |
362 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
52 |
52 |
$0.00 |
| 0761 |
|
317 |
258 |
$0.00 |
| 92551 |
|
57 |
57 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
120 |
69 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 90656 |
|
28 |
28 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$0.00 |
| 97014 |
|
20 |
17 |
$0.00 |
| 0500 |
|
16,255 |
7,236 |
$0.00 |
| 0300 |
|
7,035 |
5,604 |
$0.00 |
| 99173 |
|
52 |
52 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
16 |
$0.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$0.00 |
| 0361 |
|
35 |
33 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
19 |
13 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
101 |
90 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
105 |
69 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |
| 92015 |
Determination of refractive state |
15 |
15 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |