| Code | Description | Claims | Beneficiaries | Total Paid |
| 00003 |
Internal/system code - not a standard HCPCS code |
45,048 |
40,791 |
$8.73M |
| T1015 |
Clinic visit/encounter, all-inclusive |
53,719 |
43,973 |
$7.80M |
| 0521 |
|
118,530 |
39,593 |
$786K |
| 90750 |
|
18 |
18 |
$3K |
| 99051 |
|
45 |
42 |
$2K |
| 98940 |
|
87 |
79 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
361 |
360 |
$1K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
102 |
91 |
$1K |
| 0002A |
|
33 |
33 |
$1K |
| 0013A |
|
31 |
31 |
$1K |
| 0124A |
|
28 |
28 |
$1K |
| 97811 |
|
32 |
27 |
$763.61 |
| 97810 |
|
31 |
27 |
$738.00 |
| 0001A |
|
15 |
15 |
$600.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
289 |
281 |
$575.09 |
| 0154A |
|
12 |
12 |
$480.00 |
| 0003A |
|
12 |
12 |
$480.00 |
| 90656 |
|
69 |
69 |
$340.00 |
| 0900 |
|
2,255 |
1,463 |
$287.28 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
251 |
246 |
$266.75 |
| 90662 |
|
164 |
164 |
$240.00 |
| 83037 |
|
275 |
275 |
$191.01 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
13 |
$122.85 |
| 99173 |
|
214 |
214 |
$20.73 |
| G0008 |
Administration of influenza virus vaccine |
189 |
189 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
170 |
169 |
$0.00 |
| 90734 |
|
39 |
39 |
$0.00 |