| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,000 |
31,955 |
$5.61M |
| 00003 |
Internal/system code - not a standard HCPCS code |
19,563 |
14,440 |
$3.58M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,511 |
7,343 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,780 |
3,984 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,136 |
639 |
$12K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,847 |
839 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,145 |
1,728 |
$5K |
| 92551 |
|
1,265 |
1,138 |
$3K |
| 0011A |
|
17 |
17 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
50 |
42 |
$1K |
| 0012A |
|
12 |
12 |
$804.00 |
| 81025 |
|
243 |
215 |
$206.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,257 |
2,911 |
$156.50 |
| 81002 |
|
600 |
385 |
$51.56 |
| 85018 |
|
2,658 |
2,370 |
$9.04 |
| 99173 |
|
1,864 |
1,643 |
$4.03 |
| 90686 |
|
594 |
550 |
$0.00 |
| 1126F |
|
803 |
755 |
$0.00 |
| 3074F |
|
651 |
619 |
$0.00 |
| 3044F |
|
172 |
160 |
$0.00 |
| 1036F |
|
582 |
551 |
$0.00 |
| 3008F |
|
945 |
879 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
948 |
855 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
44 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
155 |
141 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 86780 |
|
74 |
65 |
$0.00 |
| 90656 |
|
34 |
32 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| Z1034 |
|
135 |
94 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 0502F |
|
284 |
166 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,467 |
1,306 |
$0.00 |
| 86703 |
|
219 |
194 |
$0.00 |
| 99408 |
|
64 |
59 |
$0.00 |
| 2028F |
|
289 |
263 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
39 |
$0.00 |
| 3078F |
|
594 |
564 |
$0.00 |
| 90661 |
|
51 |
44 |
$0.00 |
| 4274F |
|
287 |
254 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
139 |
117 |
$0.00 |
| 83655 |
|
44 |
42 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
39 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
68 |
60 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90670 |
|
35 |
27 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
37 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
13 |
$0.00 |
| 90633 |
|
50 |
42 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
14 |
$0.00 |