| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
17,894 |
12,854 |
$4.51M |
| T1015 |
Clinic visit/encounter, all-inclusive |
21,919 |
16,908 |
$3.75M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,861 |
16,953 |
$430K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,179 |
1,928 |
$28K |
| 92551 |
|
1,872 |
1,200 |
$22K |
| 90686 |
|
1,540 |
1,131 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
344 |
217 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
265 |
146 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
323 |
210 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
453 |
340 |
$13K |
| 0012A |
|
123 |
122 |
$5K |
| 0011A |
|
137 |
136 |
$5K |
| 99173 |
|
1,662 |
1,066 |
$5K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
43 |
42 |
$4K |
| 90750 |
|
20 |
12 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
53 |
$2K |
| 85018 |
|
1,289 |
839 |
$2K |
| 90715 |
|
89 |
55 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
220 |
154 |
$995.51 |
| 90651 |
|
23 |
13 |
$234.00 |
| 90734 |
|
23 |
13 |
$216.00 |
| 81002 |
|
111 |
83 |
$176.43 |
| 90656 |
|
40 |
39 |
$107.24 |
| 81025 |
|
22 |
12 |
$31.34 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
463 |
437 |
$0.00 |
| 99442 |
|
18 |
16 |
$0.00 |