| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
79,610 |
58,393 |
$14.73M |
| 00003 |
Internal/system code - not a standard HCPCS code |
4,256 |
3,999 |
$943K |
| 0002A |
|
795 |
517 |
$37K |
| 0001A |
|
690 |
477 |
$31K |
| Z1034 |
|
9,240 |
6,497 |
$4K |
| 0003A |
|
25 |
25 |
$784.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39,152 |
31,730 |
$151.51 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
354 |
347 |
$108.80 |
| 96127 |
|
11,289 |
10,749 |
$14.28 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
10,487 |
9,904 |
$10.59 |
| 92551 |
|
11,604 |
11,558 |
$10.10 |
| 99000 |
|
18,805 |
17,412 |
$3.59 |
| 90648 |
|
986 |
979 |
$0.00 |
| 81025 |
|
1,826 |
1,810 |
$0.00 |
| 90713 |
|
950 |
945 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,383 |
3,369 |
$0.00 |
| 0502F |
|
1,469 |
1,133 |
$0.00 |
| Z6400 |
|
1,783 |
1,719 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
155 |
155 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,743 |
1,162 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,072 |
3,062 |
$0.00 |
| 99173 |
|
11,947 |
11,881 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
747 |
722 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,990 |
2,986 |
$0.00 |
| 90670 |
|
1,461 |
1,451 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,110 |
2,101 |
$0.00 |
| Z6304 |
|
854 |
805 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,732 |
1,725 |
$0.00 |
| 90700 |
|
1,194 |
1,186 |
$0.00 |
| 90707 |
|
1,154 |
1,144 |
$0.00 |
| Z6500 |
|
484 |
484 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,631 |
2,308 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
108 |
108 |
$0.00 |
| 90633 |
|
1,271 |
1,259 |
$0.00 |
| G9920 |
Screening performed and negative |
69 |
69 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
279 |
279 |
$0.00 |
| D9430 |
|
2,880 |
2,874 |
$0.00 |
| D0190 |
|
288 |
288 |
$0.00 |
| Z6300 |
|
422 |
399 |
$0.00 |
| 90734 |
|
1,160 |
1,151 |
$0.00 |
| 83655 |
|
987 |
984 |
$0.00 |
| 90715 |
|
486 |
483 |
$0.00 |
| 69209 |
|
28 |
28 |
$0.00 |
| Z6414 |
|
26 |
26 |
$0.00 |
| 90760 |
|
12 |
12 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
39 |
38 |
$0.00 |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
29 |
29 |
$0.00 |
| 99201 |
|
13 |
13 |
$0.00 |
| 81002 |
|
65 |
65 |
$0.00 |
| 99382 |
|
24 |
24 |
$0.00 |
| Z6208 |
|
12 |
12 |
$0.00 |
| D1110 |
Prophylaxis - adult |
18 |
18 |
$0.00 |
| 99381 |
|
436 |
436 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
352 |
260 |
$0.00 |
| 90620 |
|
995 |
989 |
$0.00 |
| 81000 |
|
8,466 |
8,400 |
$0.00 |
| 90686 |
|
5,274 |
5,233 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
963 |
937 |
$0.00 |
| 90677 |
|
423 |
421 |
$0.00 |
| Z6410 |
|
1,079 |
967 |
$0.00 |
| Z1038 |
|
250 |
250 |
$0.00 |
| 93000 |
|
49 |
49 |
$0.00 |
| 90744 |
|
1,323 |
1,314 |
$0.00 |
| 90716 |
|
1,348 |
1,334 |
$0.00 |
| 85018 |
|
11,610 |
11,559 |
$0.00 |
| D0601 |
|
380 |
380 |
$0.00 |
| 90698 |
|
633 |
628 |
$0.00 |
| 90696 |
|
245 |
244 |
$0.00 |
| 90651 |
|
1,586 |
1,569 |
$0.00 |
| 90680 |
|
1,052 |
1,043 |
$0.00 |
| Z6406 |
|
1,212 |
1,151 |
$0.00 |
| Z1032 |
|
1,294 |
1,292 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
991 |
917 |
$0.00 |
| 86580 |
|
311 |
309 |
$0.00 |
| Z6204 |
|
1,238 |
1,166 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
26 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
923 |
919 |
$0.00 |
| D0602 |
|
430 |
429 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
129 |
128 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
38 |
37 |
$0.00 |
| 96161 |
|
398 |
398 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
70 |
70 |
$0.00 |
| 99384 |
|
53 |
53 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
310 |
309 |
$0.00 |
| 96150 |
|
18 |
17 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
510 |
509 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
85 |
83 |
$0.00 |
| D0603 |
|
139 |
139 |
$0.00 |
| 99383 |
|
71 |
71 |
$0.00 |
| 0500F |
|
42 |
42 |
$0.00 |
| 90656 |
|
934 |
921 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
60 |
60 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
12 |
12 |
$0.00 |
| 99385 |
|
70 |
70 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$0.00 |
| 0501F |
|
12 |
12 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |