| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
73,565 |
62,794 |
$13.55M |
| 00003 |
Internal/system code - not a standard HCPCS code |
37,510 |
32,565 |
$8.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,523 |
22,382 |
$216K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33,312 |
19,484 |
$130K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,258 |
1,187 |
$32K |
| 98940 |
|
5,090 |
2,416 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,127 |
1,114 |
$19K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,073 |
442 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,370 |
1,468 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,510 |
1,644 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
581 |
383 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,734 |
1,777 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
993 |
640 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
247 |
155 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,227 |
1,834 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,202 |
1,650 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
784 |
390 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
97 |
56 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,631 |
1,817 |
$2K |
| 85018 |
|
13,217 |
8,736 |
$2K |
| 99383 |
|
99 |
82 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,447 |
5,156 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
63 |
48 |
$1K |
| 81025 |
|
1,361 |
983 |
$1K |
| 90686 |
|
2,636 |
1,932 |
$893.34 |
| 81002 |
|
7,159 |
4,907 |
$892.39 |
| 90716 |
|
134 |
103 |
$688.78 |
| 90651 |
|
1,016 |
694 |
$637.50 |
| 90671 |
|
273 |
190 |
$613.71 |
| 90619 |
|
181 |
146 |
$501.20 |
| 97802 |
|
82 |
74 |
$469.73 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
792 |
518 |
$451.97 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
19 |
12 |
$336.60 |
| 99384 |
|
81 |
72 |
$335.64 |
| 90715 |
|
665 |
452 |
$317.44 |
| 90656 |
|
326 |
224 |
$257.78 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
37 |
28 |
$234.00 |
| 90662 |
|
17 |
12 |
$192.55 |
| 99385 |
|
18 |
13 |
$144.10 |
| 92015 |
Determination of refractive state |
4,823 |
4,800 |
$136.17 |
| 97803 |
|
59 |
58 |
$135.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
38 |
$100.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$96.00 |
| 86580 |
|
301 |
247 |
$90.15 |
| 92551 |
|
3,638 |
2,529 |
$64.14 |
| 87428 |
|
52 |
33 |
$63.59 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
681 |
679 |
$37.15 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,441 |
1,762 |
$9.00 |
| 82948 |
|
3,451 |
2,321 |
$2.71 |
| 98942 |
|
214 |
164 |
$0.00 |
| 99173 |
|
2,907 |
2,581 |
$0.00 |
| 90633 |
|
655 |
450 |
$0.00 |
| 90461 |
|
987 |
889 |
$0.00 |
| 90734 |
|
267 |
184 |
$0.00 |
| 90670 |
|
729 |
493 |
$0.00 |
| 4274F |
|
123 |
118 |
$0.00 |
| Z6400 |
|
37 |
37 |
$0.00 |
| 90707 |
|
22 |
15 |
$0.00 |
| 59425 |
|
259 |
177 |
$0.00 |
| 90473 |
|
62 |
55 |
$0.00 |
| 1159F |
|
290 |
282 |
$0.00 |
| 90710 |
|
290 |
178 |
$0.00 |
| 4040F |
|
77 |
66 |
$0.00 |
| 90700 |
|
19 |
12 |
$0.00 |
| 1160F |
|
290 |
282 |
$0.00 |
| 90713 |
|
39 |
33 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |
| 90681 |
|
17 |
13 |
$0.00 |
| 96160 |
|
16 |
13 |
$0.00 |
| 3078F |
|
47 |
47 |
$0.00 |
| 4004F |
|
16 |
16 |
$0.00 |
| 90688 |
|
124 |
109 |
$0.00 |
| 82962 |
|
3,820 |
2,559 |
$0.00 |
| 36416 |
|
872 |
623 |
$0.00 |
| 1036F |
|
381 |
364 |
$0.00 |
| 2010F |
|
413 |
388 |
$0.00 |
| 90723 |
|
208 |
141 |
$0.00 |
| 90647 |
|
214 |
142 |
$0.00 |
| 90680 |
|
235 |
147 |
$0.00 |
| 3008F |
|
566 |
547 |
$0.00 |
| 3074F |
|
51 |
51 |
$0.00 |
| 90697 |
|
345 |
213 |
$0.00 |
| 2001F |
|
365 |
353 |
$0.00 |
| 90474 |
|
59 |
53 |
$0.00 |
| 90620 |
|
97 |
65 |
$0.00 |
| Z1034 |
|
399 |
308 |
$0.00 |
| 90677 |
|
20 |
12 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 90744 |
|
32 |
28 |
$0.00 |
| 90696 |
|
17 |
12 |
$0.00 |
| 4010F |
|
25 |
23 |
$0.00 |
| 4037F |
|
46 |
46 |
$0.00 |
| 92082 |
|
12 |
12 |
$0.00 |
| 92002 |
|
12 |
12 |
$0.00 |
| 1125F |
|
45 |
32 |
$0.00 |