| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
533,439 |
384,886 |
$96.27M |
| 00003 |
Internal/system code - not a standard HCPCS code |
27,157 |
18,078 |
$5.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,826 |
12,628 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,248 |
11,553 |
$37K |
| 0012A |
|
332 |
332 |
$22K |
| 0011A |
|
286 |
286 |
$19K |
| 0002A |
|
69 |
69 |
$5K |
| 0001A |
|
42 |
42 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
199 |
196 |
$3K |
| 0072A |
|
17 |
17 |
$1K |
| 0031A |
|
12 |
12 |
$804.00 |
| 81025 |
|
990 |
984 |
$623.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,037 |
1,335 |
$221.58 |
| 81000 |
|
12,522 |
9,304 |
$12.36 |
| 18 |
F18 fdg |
602,222 |
323,331 |
$0.00 |
| 3725F |
|
3,134 |
2,837 |
$0.00 |
| Z6400 |
|
3,654 |
3,279 |
$0.00 |
| 1160F |
|
1,818 |
1,627 |
$0.00 |
| Z6200 |
|
196 |
196 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
182 |
121 |
$0.00 |
| 81002 |
|
380 |
287 |
$0.00 |
| 90681 |
|
292 |
292 |
$0.00 |
| 90648 |
|
610 |
610 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,681 |
1,676 |
$0.00 |
| 99173 |
|
1,107 |
1,105 |
$0.00 |
| 90633 |
|
244 |
243 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
256 |
245 |
$0.00 |
| 3078F |
|
2,900 |
2,769 |
$0.00 |
| 1159F |
|
3,146 |
2,846 |
$0.00 |
| 90713 |
|
145 |
145 |
$0.00 |
| Z6414 |
|
230 |
194 |
$0.00 |
| 90670 |
|
466 |
466 |
$0.00 |
| 92552 |
|
1,477 |
1,475 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
285 |
282 |
$0.00 |
| Z6300 |
|
237 |
236 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
110 |
110 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
17 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
206 |
205 |
$0.00 |
| 90734 |
|
44 |
44 |
$0.00 |
| Z6202 |
|
201 |
201 |
$0.00 |
| 92081 |
|
92 |
92 |
$0.00 |
| 90715 |
|
102 |
102 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
125 |
125 |
$0.00 |
| Z6208 |
|
29 |
26 |
$0.00 |
| 90707 |
|
24 |
24 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
185 |
182 |
$0.00 |
| D1120 |
Prophylaxis - child |
82 |
82 |
$0.00 |
| 99188 |
|
19 |
19 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 4551F |
|
15 |
15 |
$0.00 |
| 85018 |
|
1,750 |
1,736 |
$0.00 |
| 94760 |
|
4,632 |
4,064 |
$0.00 |
| 1126F |
|
2,824 |
2,532 |
$0.00 |
| 2010F |
|
7,325 |
6,482 |
$0.00 |
| 90686 |
|
418 |
417 |
$0.00 |
| Z6410 |
|
3,647 |
2,893 |
$0.00 |
| 3510F |
|
369 |
357 |
$0.00 |
| 99381 |
|
546 |
523 |
$0.00 |
| 3008F |
|
3,442 |
3,136 |
$0.00 |
| Z1034 |
|
2,390 |
1,831 |
$0.00 |
| 3351F |
|
4,395 |
3,414 |
$0.00 |
| 3074F |
|
2,826 |
2,696 |
$0.00 |
| 90651 |
|
124 |
124 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
595 |
348 |
$0.00 |
| 82962 |
|
910 |
830 |
$0.00 |
| Z6204 |
|
441 |
421 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,341 |
2,302 |
$0.00 |
| 1036F |
|
2,512 |
2,215 |
$0.00 |
| 86580 |
|
35 |
35 |
$0.00 |
| Z6402 |
|
640 |
640 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
83 |
65 |
$0.00 |
| 90677 |
|
107 |
107 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
66 |
52 |
$0.00 |
| 90723 |
|
207 |
207 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
81 |
80 |
$0.00 |
| 2001F |
|
206 |
189 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
28 |
28 |
$0.00 |
| 1125F |
|
169 |
162 |
$0.00 |
| D1330 |
|
83 |
83 |
$0.00 |
| D0603 |
|
64 |
64 |
$0.00 |
| 90716 |
|
207 |
206 |
$0.00 |
| 99384 |
|
26 |
26 |
$0.00 |
| 96161 |
|
63 |
54 |
$0.00 |
| 90744 |
|
44 |
44 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
133 |
39 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 99383 |
|
37 |
37 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
82 |
82 |
$0.00 |
| 96127 |
|
66 |
66 |
$0.00 |
| 90674 |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| D1310 |
|
69 |
69 |
$0.00 |
| Z6404 |
|
18 |
15 |
$0.00 |
| Z6406 |
|
16 |
16 |
$0.00 |