| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
38,805 |
32,285 |
$4.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,091 |
11,346 |
$39K |
| 00003 |
Internal/system code - not a standard HCPCS code |
92 |
67 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,733 |
3,132 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,190 |
1,082 |
$4K |
| 0012A |
|
137 |
82 |
$3K |
| 0011A |
|
167 |
125 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
414 |
387 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,074 |
966 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,143 |
1,024 |
$3K |
| 92551 |
|
2,392 |
2,127 |
$2K |
| 0064A |
|
32 |
32 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
595 |
559 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
302 |
274 |
$1K |
| 90686 |
|
1,031 |
948 |
$891.02 |
| 0072A |
|
26 |
26 |
$880.00 |
| 0071A |
|
20 |
19 |
$720.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
134 |
134 |
$675.90 |
| 99173 |
|
2,523 |
2,251 |
$549.18 |
| 90651 |
|
641 |
588 |
$423.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,131 |
2,044 |
$401.86 |
| 90633 |
|
522 |
480 |
$342.00 |
| 90670 |
|
735 |
690 |
$315.00 |
| 90734 |
|
535 |
504 |
$226.93 |
| 90710 |
|
247 |
225 |
$225.00 |
| 99383 |
|
73 |
63 |
$219.32 |
| 99384 |
|
43 |
36 |
$197.34 |
| 90715 |
|
327 |
307 |
$145.68 |
| 99000 |
|
1,367 |
1,281 |
$137.94 |
| 90723 |
|
510 |
489 |
$135.00 |
| 90696 |
|
111 |
97 |
$126.00 |
| 86580 |
|
216 |
195 |
$80.56 |
| 90647 |
|
505 |
493 |
$72.00 |
| 90700 |
|
61 |
51 |
$63.00 |
| 85018 |
|
497 |
439 |
$50.76 |
| 92552 |
|
114 |
108 |
$50.07 |
| 90620 |
|
82 |
73 |
$45.00 |
| 81003 |
|
204 |
178 |
$20.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,019 |
2,892 |
$4.46 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,027 |
5,071 |
$1.27 |
| 1220F |
|
5,030 |
4,332 |
$0.00 |
| 3351F |
|
750 |
654 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
896 |
845 |
$0.00 |
| D1330 |
|
14 |
13 |
$0.00 |
| 90716 |
|
19 |
19 |
$0.00 |
| FLUST |
|
13 |
13 |
$0.00 |
| 90474 |
|
99 |
98 |
$0.00 |
| 1031F |
|
53 |
50 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
21 |
21 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$0.00 |
| 90688 |
|
32 |
32 |
$0.00 |
| 81000 |
|
23 |
23 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
12 |
12 |
$0.00 |
| 90473 |
|
48 |
48 |
$0.00 |
| 96160 |
|
4,183 |
3,936 |
$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) |
247 |
233 |
$0.00 |
| 90707 |
|
28 |
28 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
68 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
63 |
63 |
$0.00 |
| 99001 |
|
40 |
36 |
$0.00 |
| 90681 |
|
74 |
74 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
36 |
35 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
28 |
26 |
$0.00 |