| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
39,226 |
29,301 |
$5.57M |
| 00003 |
Internal/system code - not a standard HCPCS code |
11,660 |
8,184 |
$2.62M |
| 98942 |
|
1,824 |
1,351 |
$419K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25,823 |
16,692 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,125 |
36,136 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,781 |
2,428 |
$21K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,863 |
1,590 |
$14K |
| 99000 |
|
23,306 |
16,761 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
765 |
617 |
$9K |
| 0002A |
|
175 |
146 |
$7K |
| 0001A |
|
176 |
151 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,995 |
1,504 |
$5K |
| 92081 |
|
10,310 |
8,087 |
$5K |
| 0012A |
|
112 |
94 |
$4K |
| 92552 |
|
7,797 |
6,476 |
$3K |
| 0072A |
|
47 |
41 |
$2K |
| 88150 |
|
221 |
163 |
$1K |
| 0071A |
|
67 |
49 |
$1K |
| 97802 |
|
2,811 |
2,184 |
$1K |
| 0064A |
|
47 |
34 |
$1K |
| 3008F |
|
74,223 |
49,157 |
$979.71 |
| 99215 |
Prolong outpt/office vis |
115 |
51 |
$964.99 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,133 |
912 |
$959.05 |
| 0004A |
|
37 |
26 |
$911.00 |
| 90686 |
|
329 |
258 |
$841.00 |
| 0011A |
|
163 |
104 |
$834.92 |
| 86580 |
|
100 |
69 |
$505.90 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
337 |
294 |
$410.65 |
| 97803 |
|
709 |
588 |
$312.02 |
| 90670 |
|
112 |
83 |
$252.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
369 |
270 |
$246.06 |
| 81002 |
|
3,007 |
2,417 |
$170.54 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$163.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
15 |
14 |
$139.92 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
277 |
209 |
$139.23 |
| 81025 |
|
1,036 |
812 |
$134.13 |
| 90734 |
|
87 |
66 |
$117.00 |
| G0008 |
Administration of influenza virus vaccine |
275 |
217 |
$113.92 |
| 99385 |
|
101 |
84 |
$112.96 |
| 3077F |
|
2,703 |
1,924 |
$109.09 |
| A4267 |
Contraceptive supply, condom, male, each |
114 |
97 |
$104.74 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,313 |
1,042 |
$99.00 |
| 36415 |
Collection of venous blood by venipuncture |
12,112 |
9,958 |
$93.78 |
| 90633 |
|
122 |
92 |
$90.00 |
| 85018 |
|
1,337 |
1,063 |
$78.25 |
| 86318 |
|
178 |
122 |
$71.53 |
| 0031A |
|
59 |
41 |
$67.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
63 |
$54.28 |
| 90649 |
|
101 |
75 |
$54.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
348 |
306 |
$53.96 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
69 |
59 |
$40.12 |
| 90672 |
|
33 |
27 |
$36.00 |
| 91301 |
|
31 |
19 |
$33.96 |
| 82962 |
|
332 |
271 |
$29.70 |
| 90688 |
|
41 |
40 |
$27.00 |
| 90698 |
|
17 |
12 |
$18.00 |
| 1160F |
|
4,937 |
4,062 |
$8.08 |
| 1159F |
|
4,954 |
4,075 |
$3.36 |
| 3079F |
|
1,411 |
1,063 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
108 |
82 |
$0.00 |
| 3080F |
|
1,467 |
1,023 |
$0.00 |
| 1220F |
|
4,392 |
3,594 |
$0.00 |
| 1157F |
|
4,194 |
3,428 |
$0.00 |
| 3074F |
|
718 |
556 |
$0.00 |
| 3075F |
|
439 |
342 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
417 |
364 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
761 |
532 |
$0.00 |
| 90744 |
|
35 |
24 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
32 |
31 |
$0.00 |
| 3044F |
|
245 |
203 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
82 |
70 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
21 |
14 |
$0.00 |
| D1330 |
|
15 |
14 |
$0.00 |
| 86769 |
|
12 |
12 |
$0.00 |
| 1111F |
|
27 |
24 |
$0.00 |
| 99386 |
|
15 |
12 |
$0.00 |
| 1126F |
|
13 |
13 |
$0.00 |
| 82043 |
|
27 |
25 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
33 |
28 |
$0.00 |
| D1310 |
|
16 |
14 |
$0.00 |
| 3078F |
|
645 |
492 |
$0.00 |
| 1158F |
|
47 |
41 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
363 |
317 |
$0.00 |
| 98940 |
|
326 |
281 |
$0.00 |
| 0521 |
|
19 |
12 |
$0.00 |
| 99442 |
|
42 |
29 |
$0.00 |
| 86328 |
|
12 |
12 |
$0.00 |
| 0502F |
|
94 |
51 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
35 |
24 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
69 |
40 |
$0.00 |
| 90715 |
|
28 |
22 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
64 |
45 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
12 |
$0.00 |