| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,140 |
15,478 |
$3.63M |
| 00003 |
Internal/system code - not a standard HCPCS code |
3,125 |
3,006 |
$911K |
| H0043 |
Supported housing, per diem |
811 |
803 |
$122K |
| G9012 |
Other specified case management service not elsewhere classified |
1,592 |
984 |
$64K |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
128 |
127 |
$34K |
| 90791 |
Psychiatric diagnostic evaluation |
270 |
200 |
$13K |
| 99215 |
Prolong outpt/office vis |
124 |
107 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
527 |
442 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
23 |
16 |
$771.39 |
| D4341 |
|
17 |
12 |
$160.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
76 |
74 |
$129.50 |
| G9920 |
Screening performed and negative |
1,624 |
1,529 |
$29.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$9.52 |
| 99188 |
|
213 |
213 |
$0.00 |
| 3077F |
|
787 |
746 |
$0.00 |
| 3078F |
|
4,512 |
4,278 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
496 |
486 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,140 |
1,127 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
155 |
147 |
$0.00 |
| 92552 |
|
577 |
572 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,374 |
1,302 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
215 |
215 |
$0.00 |
| 83655 |
|
92 |
92 |
$0.00 |
| 99173 |
|
656 |
652 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
68 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
128 |
128 |
$0.00 |
| 80061 |
Lipid panel |
332 |
321 |
$0.00 |
| 90633 |
|
95 |
95 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
191 |
188 |
$0.00 |
| 81025 |
|
49 |
48 |
$0.00 |
| 0502F |
|
106 |
98 |
$0.00 |
| 90681 |
|
14 |
14 |
$0.00 |
| Z6202 |
|
14 |
14 |
$0.00 |
| 1160F |
|
38 |
38 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
150 |
149 |
$0.00 |
| 82947 |
|
18 |
12 |
$0.00 |
| Z6400 |
|
39 |
39 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 82274 |
|
96 |
94 |
$0.00 |
| 82570 |
|
12 |
12 |
$0.00 |
| D0460 |
|
16 |
16 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| Z6302 |
|
14 |
14 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,878 |
8,200 |
$0.00 |
| Z6410 |
|
479 |
393 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,881 |
1,857 |
$0.00 |
| 3074F |
|
4,316 |
4,077 |
$0.00 |
| 3075F |
|
471 |
456 |
$0.00 |
| 3079F |
|
1,205 |
1,153 |
$0.00 |
| 85018 |
|
157 |
154 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,146 |
1,127 |
$0.00 |
| 90716 |
|
37 |
37 |
$0.00 |
| 81001 |
|
191 |
170 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
707 |
705 |
$0.00 |
| 90656 |
|
266 |
266 |
$0.00 |
| Z6404 |
|
14 |
14 |
$0.00 |
| 90651 |
|
51 |
51 |
$0.00 |
| 90697 |
|
113 |
113 |
$0.00 |
| 90677 |
|
197 |
197 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
72 |
72 |
$0.00 |
| 90686 |
|
185 |
174 |
$0.00 |
| 3008F |
|
347 |
338 |
$0.00 |
| 82043 |
|
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
137 |
131 |
$0.00 |
| 3080F |
|
42 |
41 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
76 |
69 |
$0.00 |
| D1310 |
|
38 |
34 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
67 |
64 |
$0.00 |
| 96127 |
|
26 |
26 |
$0.00 |
| Z1034 |
|
106 |
98 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
13 |
$0.00 |
| 1111F |
|
24 |
24 |
$0.00 |
| D1330 |
|
33 |
30 |
$0.00 |