| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,942 |
28,091 |
$6.28M |
| 00003 |
Internal/system code - not a standard HCPCS code |
15,227 |
12,214 |
$3.44M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,624 |
17,454 |
$435K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,816 |
8,932 |
$363K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,392 |
1,294 |
$133K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,421 |
868 |
$122K |
| 90791 |
Psychiatric diagnostic evaluation |
664 |
535 |
$66K |
| 99215 |
Prolong outpt/office vis |
760 |
439 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,915 |
1,162 |
$19K |
| 99205 |
Prolong outpt/office vis |
312 |
229 |
$18K |
| 90686 |
|
1,014 |
1,009 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
291 |
239 |
$15K |
| 90746 |
|
236 |
233 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,906 |
2,712 |
$12K |
| 97802 |
|
625 |
486 |
$7K |
| 99385 |
|
146 |
128 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
62 |
59 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
90 |
59 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
59 |
40 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
415 |
248 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
93 |
50 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
375 |
316 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
182 |
126 |
$2K |
| 90658 |
|
70 |
69 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
108 |
72 |
$2K |
| 59425 |
|
24 |
15 |
$1K |
| 85018 |
|
1,067 |
1,013 |
$1K |
| 99383 |
|
137 |
124 |
$1K |
| 57410 |
|
14 |
14 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
50 |
49 |
$678.15 |
| 99382 |
|
62 |
62 |
$659.07 |
| 82962 |
|
260 |
226 |
$401.07 |
| 92551 |
|
69 |
65 |
$390.68 |
| 90656 |
|
16 |
16 |
$321.71 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
199 |
199 |
$287.98 |
| 90698 |
|
41 |
40 |
$282.81 |
| 99201 |
|
46 |
46 |
$273.88 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$246.46 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
12 |
12 |
$178.48 |
| 99384 |
|
12 |
12 |
$178.26 |
| 81001 |
|
48 |
45 |
$121.88 |
| 90633 |
|
13 |
13 |
$46.48 |
| 81003 |
|
33 |
14 |
$32.60 |
| 96127 |
|
18 |
12 |
$28.63 |
| 36416 |
|
155 |
155 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| 90461 |
|
31 |
31 |
$0.00 |
| 99173 |
|
523 |
452 |
$0.00 |