| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
44,672 |
37,044 |
$8.03M |
| 00003 |
Internal/system code - not a standard HCPCS code |
24,975 |
15,866 |
$4.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,446 |
15,186 |
$298K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,878 |
6,192 |
$84K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,556 |
1,179 |
$64K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,245 |
907 |
$50K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,267 |
1,081 |
$39K |
| 90715 |
|
1,294 |
1,031 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
846 |
753 |
$24K |
| 90658 |
|
4,380 |
3,345 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,324 |
1,012 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,328 |
1,032 |
$19K |
| 99385 |
|
356 |
284 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
739 |
540 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,710 |
3,700 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
295 |
241 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
638 |
423 |
$9K |
| 90746 |
|
160 |
124 |
$9K |
| 92015 |
Determination of refractive state |
2,160 |
1,889 |
$7K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
219 |
178 |
$7K |
| 90707 |
|
303 |
237 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,329 |
1,756 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
435 |
343 |
$6K |
| 90649 |
|
490 |
394 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
489 |
421 |
$6K |
| 90733 |
|
326 |
265 |
$5K |
| 81002 |
|
7,683 |
5,830 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,371 |
1,114 |
$5K |
| 85018 |
|
4,586 |
3,659 |
$5K |
| 97803 |
|
619 |
377 |
$4K |
| 82962 |
|
2,992 |
2,174 |
$3K |
| 0124A |
|
315 |
303 |
$3K |
| 92552 |
|
242 |
190 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
632 |
474 |
$2K |
| 90651 |
|
80 |
60 |
$1K |
| 88143 |
|
203 |
178 |
$828.47 |
| 0004A |
|
80 |
80 |
$787.25 |
| 90716 |
|
247 |
210 |
$760.84 |
| 90633 |
|
304 |
246 |
$684.00 |
| 99386 |
|
17 |
15 |
$594.90 |
| 92002 |
|
19 |
16 |
$520.10 |
| 97802 |
|
115 |
92 |
$515.95 |
| 99406 |
|
108 |
96 |
$484.22 |
| 99173 |
|
226 |
175 |
$476.64 |
| 90677 |
|
73 |
53 |
$450.00 |
| 0003A |
|
80 |
78 |
$335.00 |
| 81025 |
|
175 |
133 |
$280.70 |
| 91320 |
|
310 |
298 |
$262.20 |
| 90647 |
|
106 |
81 |
$252.00 |
| 83655 |
|
42 |
25 |
$223.23 |
| 99383 |
|
56 |
53 |
$219.30 |
| 0071A |
|
132 |
131 |
$180.50 |
| 0013A |
|
164 |
163 |
$134.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
332 |
314 |
$129.24 |
| 99384 |
|
44 |
40 |
$124.78 |
| V2020 |
Frames, purchases |
384 |
365 |
$106.55 |
| 90620 |
|
62 |
42 |
$94.50 |
| 0072A |
|
151 |
150 |
$90.25 |
| 0001A |
|
105 |
105 |
$90.25 |
| 90744 |
|
16 |
13 |
$72.00 |
| 0002A |
|
192 |
190 |
$67.02 |
| 90656 |
|
69 |
56 |
$24.23 |
| 91300 |
|
870 |
849 |
$0.00 |
| 90700 |
|
32 |
25 |
$0.00 |
| 91312 |
|
153 |
153 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
115 |
104 |
$0.00 |
| 91308 |
|
15 |
15 |
$0.00 |
| 86590 |
|
12 |
12 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90670 |
|
41 |
29 |
$0.00 |
| 91301 |
|
243 |
228 |
$0.00 |
| 81001 |
|
425 |
423 |
$0.00 |
| 91307 |
|
334 |
326 |
$0.00 |
| 0012A |
|
49 |
48 |
$0.00 |
| 0011A |
|
160 |
159 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21 |
20 |
$0.00 |