| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,707 |
20,642 |
$3.63M |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,124 |
1,124 |
$196K |
| 98940 |
|
3,408 |
2,387 |
$17K |
| 0012A |
|
173 |
126 |
$3K |
| 0064A |
|
80 |
59 |
$2K |
| 0071A |
|
23 |
13 |
$940.00 |
| 0011A |
|
143 |
131 |
$750.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
14 |
14 |
$633.92 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,226 |
7,475 |
$560.09 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,031 |
1,003 |
$516.53 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
476 |
471 |
$220.00 |
| 0072A |
|
13 |
12 |
$107.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
896 |
867 |
$62.09 |
| 90648 |
|
94 |
93 |
$9.00 |
| 90723 |
|
41 |
40 |
$9.00 |
| 99173 |
|
1,590 |
1,583 |
$3.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
281 |
281 |
$3.51 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,240 |
1,191 |
$0.02 |
| 90655 |
|
45 |
45 |
$0.00 |
| 3078F |
|
1,589 |
1,522 |
$0.00 |
| 1160F |
|
3,726 |
3,305 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
231 |
229 |
$0.00 |
| 82948 |
|
373 |
340 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
317 |
301 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,077 |
3,676 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
136 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 99408 |
|
734 |
712 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
409 |
399 |
$0.00 |
| 81002 |
|
71 |
63 |
$0.00 |
| 90658 |
|
436 |
434 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
45 |
45 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
66 |
$0.00 |
| 1159F |
|
3,869 |
3,446 |
$0.00 |
| 90461 |
|
435 |
428 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
68 |
$0.00 |
| PROP5 |
|
15 |
13 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
218 |
193 |
$0.00 |
| 90700 |
|
61 |
61 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
71 |
71 |
$0.00 |
| D0190 |
|
96 |
96 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
53 |
$0.00 |
| 2022F |
|
16 |
16 |
$0.00 |
| 0502F |
|
15 |
12 |
$0.00 |
| 90633 |
|
26 |
26 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| 90713 |
|
30 |
30 |
$0.00 |
| 82274 |
|
40 |
40 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| D9993 |
|
27 |
27 |
$0.00 |
| Z6400 |
|
13 |
13 |
$0.00 |
| 90685 |
|
27 |
27 |
$0.00 |
| 96160 |
|
23 |
23 |
$0.00 |
| 3044F |
|
144 |
141 |
$0.00 |
| 3074F |
|
1,552 |
1,481 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,624 |
1,585 |
$0.00 |
| 1126F |
|
812 |
789 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
554 |
552 |
$0.00 |
| 85018 |
|
82 |
82 |
$0.00 |
| 3079F |
|
780 |
752 |
$0.00 |
| 3075F |
|
672 |
653 |
$0.00 |
| 90686 |
|
131 |
130 |
$0.00 |
| 1125F |
|
199 |
189 |
$0.00 |
| 90660 |
|
12 |
12 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
20 |
20 |
$0.00 |
| 92551 |
|
418 |
413 |
$0.00 |
| 1170F |
|
32 |
29 |
$0.00 |
| Z6410 |
|
149 |
126 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
63 |
62 |
$0.00 |
| Z1034 |
|
62 |
50 |
$0.00 |
| 90677 |
|
69 |
66 |
$0.00 |
| 91301 |
|
112 |
109 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
117 |
117 |
$0.00 |
| D1330 |
|
27 |
27 |
$0.00 |
| 88142 |
|
15 |
15 |
$0.00 |
| 90656 |
|
48 |
48 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
48 |
41 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
20 |
16 |
$0.00 |
| 86580 |
|
43 |
42 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 90651 |
|
21 |
21 |
$0.00 |
| D1310 |
|
27 |
27 |
$0.00 |