| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
31,530 |
28,512 |
$6.58M |
| 00003 |
Internal/system code - not a standard HCPCS code |
15,840 |
15,151 |
$3.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,495 |
13,445 |
$13K |
| G9920 |
Screening performed and negative |
5,157 |
3,281 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,100 |
775 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,191 |
2,639 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,754 |
2,430 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,986 |
1,415 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,995 |
1,208 |
$977.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,934 |
1,287 |
$869.81 |
| 90686 |
|
5,540 |
3,493 |
$514.74 |
| 92551 |
|
4,101 |
3,011 |
$431.67 |
| 90670 |
|
941 |
640 |
$380.00 |
| 90723 |
|
527 |
366 |
$370.00 |
| 90647 |
|
594 |
412 |
$260.00 |
| 0054A |
|
14 |
14 |
$201.00 |
| 90633 |
|
894 |
565 |
$160.00 |
| 99383 |
|
68 |
55 |
$153.81 |
| 90681 |
|
72 |
57 |
$70.00 |
| 90651 |
|
1,030 |
629 |
$66.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,542 |
5,785 |
$59.40 |
| 90715 |
|
246 |
176 |
$49.99 |
| 90734 |
|
437 |
251 |
$30.00 |
| 90619 |
|
207 |
126 |
$30.00 |
| 90707 |
|
64 |
40 |
$20.00 |
| 92552 |
|
23 |
15 |
$18.36 |
| 87428 |
|
137 |
93 |
$14.00 |
| 90710 |
|
66 |
41 |
$10.00 |
| 90716 |
|
153 |
106 |
$10.00 |
| 85018 |
|
528 |
336 |
$9.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
27 |
$6.54 |
| 90461 |
|
2,491 |
2,200 |
$0.00 |
| 99173 |
|
3,895 |
2,959 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
24 |
$0.00 |
| 90713 |
|
28 |
25 |
$0.00 |
| 90473 |
|
12 |
12 |
$0.00 |
| 90677 |
|
74 |
56 |
$0.00 |
| 90696 |
|
65 |
39 |
$0.00 |
| 90656 |
|
220 |
148 |
$0.00 |
| 90744 |
|
16 |
14 |
$0.00 |
| 91307 |
|
30 |
28 |
$0.00 |
| 91305 |
|
14 |
14 |
$0.00 |
| 0074A |
|
13 |
13 |
$0.00 |
| 99384 |
|
16 |
12 |
$0.00 |