| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
92,554 |
75,699 |
$18.44M |
| 00003 |
Internal/system code - not a standard HCPCS code |
23,166 |
15,857 |
$6.79M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,106 |
3,399 |
$94K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,194 |
687 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
933 |
774 |
$23K |
| 92015 |
Determination of refractive state |
4,279 |
3,682 |
$22K |
| V2020 |
Frames, purchases |
1,332 |
1,331 |
$21K |
| 92341 |
|
363 |
363 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
103 |
83 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
347 |
347 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
70 |
53 |
$2K |
| 0012A |
|
25 |
25 |
$2K |
| 0064A |
|
23 |
23 |
$2K |
| 0011A |
|
20 |
20 |
$1K |
| 0124A |
|
14 |
14 |
$938.00 |
| 0134A |
|
12 |
12 |
$804.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,639 |
28,295 |
$455.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,188 |
14,691 |
$212.08 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
509 |
499 |
$114.40 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$67.60 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,092 |
1,077 |
$63.83 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,552 |
1,441 |
$40.50 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
15 |
$37.50 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
125 |
121 |
$9.00 |
| 2023F |
|
63 |
63 |
$0.63 |
| 3074F |
|
277 |
238 |
$0.42 |
| 3078F |
|
257 |
220 |
$0.41 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
439 |
434 |
$0.00 |
| 1160F |
|
488 |
410 |
$0.00 |
| 1159F |
|
527 |
440 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
927 |
917 |
$0.00 |
| D4910 |
|
76 |
66 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
98 |
97 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
13 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
169 |
168 |
$0.00 |
| G9920 |
Screening performed and negative |
18 |
18 |
$0.00 |
| D4341 |
|
18 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$0.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$0.00 |
| 96160 |
|
18 |
18 |
$0.00 |
| Z1034 |
|
825 |
586 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
133 |
132 |
$0.00 |
| 85018 |
|
33 |
33 |
$0.00 |
| Z6406 |
|
15 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
70 |
$0.00 |
| D1330 |
|
114 |
97 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$0.00 |