| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
42,589 |
38,532 |
$8.54M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,377 |
23,370 |
$463K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,162 |
6,153 |
$188K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
974 |
899 |
$114K |
| 00003 |
Internal/system code - not a standard HCPCS code |
363 |
339 |
$80K |
| 90837 |
Psychotherapy, 53 minutes with patient |
835 |
533 |
$61K |
| 99386 |
|
238 |
209 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
906 |
798 |
$23K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
200 |
147 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
216 |
184 |
$14K |
| 99385 |
|
90 |
67 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,239 |
1,239 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,040 |
921 |
$6K |
| 90715 |
|
107 |
107 |
$3K |
| 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 |
239 |
185 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
372 |
364 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
18 |
16 |
$2K |
| 92015 |
Determination of refractive state |
1,611 |
1,483 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
350 |
310 |
$1K |
| 90674 |
|
17 |
17 |
$584.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
333 |
332 |
$580.75 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
61 |
38 |
$96.46 |
| 81003 |
|
12 |
12 |
$24.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
306 |
288 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
117 |
114 |
$0.00 |
| 81025 |
|
15 |
15 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
13 |
$0.00 |
| Z1034 |
|
280 |
194 |
$0.00 |
| 90686 |
|
84 |
84 |
$0.00 |
| 90732 |
|
15 |
15 |
$0.00 |
| 92002 |
|
32 |
27 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
48 |
$0.00 |