| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
40,013 |
32,872 |
$6.31M |
| 00003 |
Internal/system code - not a standard HCPCS code |
16,411 |
12,697 |
$3.51M |
| 0012A |
|
91 |
89 |
$6K |
| 0072A |
|
75 |
75 |
$5K |
| 0011A |
|
61 |
61 |
$4K |
| 0054A |
|
55 |
55 |
$4K |
| 0124A |
|
48 |
48 |
$3K |
| 0071A |
|
46 |
46 |
$3K |
| 90686 |
|
706 |
700 |
$2K |
| 0111A |
|
14 |
14 |
$938.00 |
| 0112A |
|
12 |
12 |
$804.00 |
| G9920 |
Screening performed and negative |
196 |
195 |
$754.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,681 |
7,166 |
$446.91 |
| 92551 |
|
249 |
247 |
$308.56 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,161 |
8,306 |
$169.96 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,254 |
603 |
$150.52 |
| 90832 |
Psychotherapy, 30 minutes with patient |
753 |
671 |
$112.74 |
| 85018 |
|
647 |
638 |
$79.51 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
41 |
$59.90 |
| 99215 |
Prolong outpt/office vis |
391 |
376 |
$57.20 |
| 90834 |
Psychotherapy, 45 minutes with patient |
41 |
26 |
$50.55 |
| 90670 |
|
13 |
12 |
$9.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
855 |
841 |
$8.94 |
| 81002 |
|
117 |
108 |
$0.00 |
| 99173 |
|
378 |
377 |
$0.00 |
| 90461 |
|
115 |
115 |
$0.00 |
| Z6300 |
|
46 |
41 |
$0.00 |
| 1158F |
|
188 |
185 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
477 |
475 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,127 |
897 |
$0.00 |
| Z6200 |
|
34 |
29 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$0.00 |
| 0502F |
|
521 |
388 |
$0.00 |
| Z6400 |
|
1,085 |
803 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
69 |
$0.00 |
| 59425 |
|
119 |
90 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
18 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
29 |
$0.00 |
| Z6304 |
|
59 |
57 |
$0.00 |
| Z6500 |
|
12 |
12 |
$0.00 |
| Z6412 |
|
47 |
39 |
$0.00 |
| 90750 |
|
13 |
13 |
$0.00 |
| 81025 |
|
14 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,441 |
3,335 |
$0.00 |
| Z6410 |
|
816 |
639 |
$0.00 |
| Z6204 |
|
59 |
57 |
$0.00 |
| 99000 |
|
1,173 |
1,112 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 82962 |
|
55 |
55 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
41 |
$0.00 |
| 90656 |
|
97 |
97 |
$0.00 |
| Z6402 |
|
59 |
53 |
$0.00 |
| 88142 |
|
22 |
16 |
$0.00 |
| Z6406 |
|
46 |
44 |
$0.00 |
| Z6404 |
|
15 |
15 |
$0.00 |