| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
33,687 |
17,014 |
$7.27M |
| T1015 |
Clinic visit/encounter, all-inclusive |
36,177 |
30,619 |
$5.49M |
| 0011A |
|
36 |
36 |
$2K |
| 0012A |
|
26 |
26 |
$2K |
| 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 |
674 |
567 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
236 |
234 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,820 |
1,715 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,385 |
3,172 |
$0.00 |
| 81003 |
|
169 |
166 |
$0.00 |
| Z6400 |
|
102 |
101 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
88 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
91 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
29 |
29 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
139 |
111 |
$0.00 |
| 99173 |
|
299 |
299 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
90 |
90 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
113 |
113 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
58 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
160 |
160 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,674 |
7,077 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,067 |
3,745 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
111 |
106 |
$0.00 |
| 85018 |
|
476 |
475 |
$0.00 |
| 92551 |
|
302 |
301 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
434 |
363 |
$0.00 |
| Z1034 |
|
43 |
38 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
462 |
461 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
86 |
84 |
$0.00 |
| 90656 |
|
228 |
228 |
$0.00 |
| 90651 |
|
30 |
30 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
42 |
42 |
$0.00 |