| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
38,059 |
32,539 |
$6.35M |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,116 |
734 |
$213K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,567 |
14,267 |
$129K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,958 |
6,497 |
$86K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
174 |
156 |
$26K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
171 |
138 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,481 |
884 |
$4K |
| 92551 |
|
3,468 |
2,328 |
$3K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
239 |
230 |
$2K |
| 96156 |
|
3,360 |
2,256 |
$2K |
| 99000 |
|
4,508 |
3,278 |
$2K |
| 94760 |
|
17,865 |
10,593 |
$2K |
| 59425 |
|
421 |
315 |
$1K |
| 97802 |
|
1,264 |
805 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
856 |
531 |
$1K |
| 90651 |
|
155 |
129 |
$981.75 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
447 |
289 |
$659.40 |
| 90686 |
|
1,752 |
1,219 |
$622.02 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
142 |
135 |
$353.22 |
| 81025 |
|
280 |
230 |
$350.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
993 |
699 |
$244.86 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
448 |
290 |
$219.32 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
210 |
134 |
$149.00 |
| 99401 |
|
237 |
196 |
$143.65 |
| 90674 |
|
39 |
26 |
$80.00 |
| 85018 |
|
3,039 |
2,044 |
$35.17 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
122 |
98 |
$33.00 |
| 96127 |
|
317 |
214 |
$28.86 |
| 97803 |
|
599 |
378 |
$26.11 |
| 90688 |
|
145 |
103 |
$25.00 |
| 3008F |
|
34,746 |
20,446 |
$24.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,433 |
2,163 |
$10.59 |
| 99173 |
|
6,329 |
4,231 |
$8.06 |
| 3080F |
|
505 |
310 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,376 |
1,422 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,132 |
753 |
$0.00 |
| Z6410 |
|
482 |
424 |
$0.00 |
| 3074F |
|
5,770 |
3,368 |
$0.00 |
| 90697 |
|
42 |
29 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
389 |
235 |
$0.00 |
| 1036F |
|
979 |
629 |
$0.00 |
| 1031F |
|
675 |
446 |
$0.00 |
| 86803 |
|
41 |
29 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
414 |
330 |
$0.00 |
| Z6204 |
|
124 |
124 |
$0.00 |
| 3079F |
|
1,274 |
809 |
$0.00 |
| 90620 |
|
19 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
540 |
373 |
$0.00 |
| Z1034 |
|
1,069 |
824 |
$0.00 |
| 3075F |
|
835 |
523 |
$0.00 |
| 99402 |
|
120 |
117 |
$0.00 |
| 96161 |
|
920 |
626 |
$0.00 |
| Z6406 |
|
186 |
181 |
$0.00 |
| 1000F |
|
407 |
291 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
91 |
54 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
207 |
128 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
198 |
121 |
$0.00 |
| 99383 |
|
122 |
91 |
$0.00 |
| Z6402 |
|
53 |
53 |
$0.00 |
| 90698 |
|
133 |
102 |
$0.00 |
| 90744 |
|
64 |
54 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
90 |
60 |
$0.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
475 |
323 |
$0.00 |
| Z1032 |
|
42 |
42 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
104 |
68 |
$0.00 |
| 86580 |
|
21 |
13 |
$0.00 |
| 99384 |
|
72 |
50 |
$0.00 |
| 82962 |
|
82 |
44 |
$0.00 |
| 99381 |
|
16 |
13 |
$0.00 |
| COVID |
Covid-19 convalescent plasma |
46 |
45 |
$0.00 |
| 90619 |
|
51 |
37 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
49 |
27 |
$0.00 |
| Z1038 |
|
12 |
12 |
$0.00 |
| 90677 |
|
21 |
12 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
27 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,578 |
1,093 |
$0.00 |
| 3078F |
|
5,603 |
3,275 |
$0.00 |
| Z6400 |
|
350 |
350 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,626 |
903 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,143 |
1,245 |
$0.00 |
| 98960 |
|
546 |
419 |
$0.00 |
| 90461 |
|
1,112 |
803 |
$0.00 |
| 3077F |
|
839 |
510 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
2,029 |
1,315 |
$0.00 |
| Z6200 |
|
53 |
53 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
216 |
130 |
$0.00 |
| 90671 |
|
62 |
41 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,909 |
1,128 |
$0.00 |
| G9920 |
Screening performed and negative |
577 |
403 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
122 |
70 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
255 |
162 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
496 |
302 |
$0.00 |
| 96160 |
|
587 |
409 |
$0.00 |
| 90670 |
|
256 |
195 |
$0.00 |
| 1160F |
|
109 |
75 |
$0.00 |
| Z6300 |
|
53 |
53 |
$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 |
167 |
151 |
$0.00 |
| Z6500 |
|
55 |
55 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
66 |
53 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
185 |
124 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
461 |
332 |
$0.00 |
| Z6304 |
|
123 |
123 |
$0.00 |
| 90734 |
|
17 |
12 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 90756 |
|
58 |
50 |
$0.00 |
| 1159F |
|
634 |
389 |
$0.00 |
| 81002 |
|
78 |
48 |
$0.00 |
| 80061 |
Lipid panel |
92 |
59 |
$0.00 |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
18 |
12 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
27 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
42 |
$0.00 |
| 90633 |
|
79 |
57 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
12 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |
| 2028F |
|
16 |
13 |
$0.00 |