| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
76,747 |
56,086 |
$12.60M |
| 00003 |
Internal/system code - not a standard HCPCS code |
20,178 |
13,210 |
$4.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,286 |
18,947 |
$100K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,715 |
7,642 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,782 |
7,736 |
$36K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
855 |
830 |
$33K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,936 |
2,648 |
$26K |
| 90791 |
Psychiatric diagnostic evaluation |
576 |
563 |
$10K |
| 0012A |
|
130 |
125 |
$5K |
| 0011A |
|
163 |
127 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
348 |
304 |
$5K |
| 0001A |
|
92 |
91 |
$3K |
| 0002A |
|
83 |
83 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
62 |
46 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,079 |
956 |
$761.64 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
24 |
$675.90 |
| 0054A |
|
13 |
12 |
$480.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
87 |
79 |
$475.31 |
| 99215 |
Prolong outpt/office vis |
191 |
161 |
$339.78 |
| 0031A |
|
27 |
25 |
$280.00 |
| 92551 |
|
2,785 |
2,164 |
$240.60 |
| 99000 |
|
3,261 |
2,679 |
$179.68 |
| 81025 |
|
246 |
213 |
$155.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
165 |
149 |
$84.02 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
17 |
17 |
$30.86 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
17 |
17 |
$30.76 |
| 81002 |
|
503 |
392 |
$27.95 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$20.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
448 |
406 |
$16.99 |
| 86592 |
|
14 |
14 |
$3.80 |
| 85018 |
|
1,495 |
1,208 |
$2.05 |
| 3074F |
|
5,824 |
4,713 |
$0.00 |
| 90651 |
|
389 |
301 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
4,674 |
3,369 |
$0.00 |
| 3075F |
|
1,807 |
1,528 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,910 |
2,429 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
765 |
685 |
$0.00 |
| 96156 |
|
3,296 |
2,671 |
$0.00 |
| 99383 |
|
30 |
27 |
$0.00 |
| 3079F |
|
2,880 |
2,389 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,899 |
2,267 |
$0.00 |
| 82746 |
|
12 |
12 |
$0.00 |
| 90686 |
|
2,082 |
1,705 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
64 |
53 |
$0.00 |
| 3080F |
|
691 |
559 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,105 |
917 |
$0.00 |
| 99384 |
|
42 |
39 |
$0.00 |
| 3008F |
|
377 |
321 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,347 |
1,109 |
$0.00 |
| 2001F |
|
138 |
123 |
$0.00 |
| 90716 |
|
15 |
12 |
$0.00 |
| 90647 |
|
68 |
58 |
$0.00 |
| 3044F |
|
171 |
152 |
$0.00 |
| 88738 |
|
120 |
94 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
21 |
21 |
$0.00 |
| 90620 |
|
119 |
99 |
$0.00 |
| 90656 |
|
179 |
154 |
$0.00 |
| 3061F |
|
64 |
44 |
$0.00 |
| 36416 |
|
165 |
137 |
$0.00 |
| 1220F |
|
131 |
123 |
$0.00 |
| 99385 |
|
41 |
39 |
$0.00 |
| 90696 |
|
16 |
12 |
$0.00 |
| 84479 |
|
14 |
14 |
$0.00 |
| 82607 |
|
17 |
17 |
$0.00 |
| 91303 |
|
21 |
19 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
30 |
30 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
20 |
20 |
$0.00 |
| 84436 |
|
14 |
14 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21 |
21 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 98942 |
|
2,059 |
699 |
$0.00 |
| 3077F |
|
1,714 |
1,400 |
$0.00 |
| 90648 |
|
114 |
102 |
$0.00 |
| 90633 |
|
234 |
184 |
$0.00 |
| 3078F |
|
5,773 |
4,689 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
736 |
644 |
$0.00 |
| 90461 |
|
1,251 |
989 |
$0.00 |
| 99173 |
|
2,899 |
2,265 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,549 |
2,766 |
$0.00 |
| 96160 |
|
897 |
709 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
961 |
766 |
$0.00 |
| 90715 |
|
154 |
123 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
872 |
666 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
87 |
75 |
$0.00 |
| 90670 |
|
236 |
201 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,117 |
828 |
$0.00 |
| 1159F |
|
110 |
85 |
$0.00 |
| 90863 |
|
34 |
33 |
$0.00 |
| 90734 |
|
293 |
225 |
$0.00 |
| 83655 |
|
270 |
210 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
116 |
100 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
264 |
220 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
267 |
195 |
$0.00 |
| 90713 |
|
16 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
12 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
23 |
12 |
$0.00 |
| 90700 |
|
31 |
29 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
166 |
123 |
$0.00 |
| 90710 |
|
20 |
14 |
$0.00 |
| 90707 |
|
23 |
17 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
17 |
14 |
$0.00 |
| 80061 |
Lipid panel |
28 |
28 |
$0.00 |
| 3046F |
|
26 |
13 |
$0.00 |