| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
71,259 |
53,001 |
$11.49M |
| 00003 |
Internal/system code - not a standard HCPCS code |
10,323 |
9,091 |
$1.98M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,701 |
16,703 |
$140K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,709 |
4,356 |
$69K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
297 |
267 |
$31K |
| J3490 |
Unclassified drugs |
189 |
169 |
$12K |
| 0012A |
|
240 |
138 |
$8K |
| 0011A |
|
237 |
138 |
$7K |
| 0001A |
|
125 |
99 |
$4K |
| 0002A |
|
95 |
92 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
350 |
348 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
77 |
77 |
$2K |
| 99000 |
|
6,547 |
6,116 |
$2K |
| 81025 |
|
939 |
911 |
$2K |
| 0064A |
|
29 |
29 |
$1K |
| 0071A |
|
18 |
18 |
$680.00 |
| 0004A |
|
13 |
13 |
$480.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
275 |
271 |
$359.40 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,329 |
2,161 |
$259.08 |
| 90832 |
Psychotherapy, 30 minutes with patient |
508 |
390 |
$70.13 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
624 |
615 |
$25.75 |
| 81003 |
|
329 |
296 |
$4.71 |
| 81000 |
|
1,523 |
1,100 |
$4.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,198 |
3,111 |
$4.46 |
| 3351F |
|
537 |
495 |
$0.00 |
| 1220F |
|
3,617 |
3,072 |
$0.00 |
| D1310 |
|
522 |
475 |
$0.00 |
| Z1032 |
|
222 |
221 |
$0.00 |
| Z6204 |
|
67 |
67 |
$0.00 |
| D1330 |
|
749 |
691 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,577 |
3,404 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,918 |
6,013 |
$0.00 |
| Z1034 |
|
2,622 |
1,784 |
$0.00 |
| Z6410 |
|
1,232 |
1,016 |
$0.00 |
| 90651 |
|
261 |
257 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
12 |
12 |
$0.00 |
| 90723 |
|
374 |
372 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
56 |
50 |
$0.00 |
| 90716 |
|
133 |
133 |
$0.00 |
| 85018 |
|
395 |
378 |
$0.00 |
| 36416 |
|
100 |
92 |
$0.00 |
| 90620 |
|
67 |
67 |
$0.00 |
| 1000F |
|
31 |
29 |
$0.00 |
| Z6406 |
|
243 |
243 |
$0.00 |
| 90647 |
|
372 |
371 |
$0.00 |
| 90686 |
|
1,209 |
1,193 |
$0.00 |
| 1031F |
|
238 |
227 |
$0.00 |
| 90744 |
|
30 |
30 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
22 |
16 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
193 |
188 |
$0.00 |
| 90688 |
|
48 |
48 |
$0.00 |
| 99383 |
|
28 |
28 |
$0.00 |
| 92551 |
|
256 |
255 |
$0.00 |
| 99381 |
|
49 |
49 |
$0.00 |
| 4060F |
|
16 |
14 |
$0.00 |
| PSC |
Zenith amniotic membrane psc |
13 |
13 |
$0.00 |
| 99384 |
|
26 |
26 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |
| 3079F |
|
16 |
16 |
$0.00 |
| Z1038 |
|
31 |
31 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
21 |
20 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| 96161 |
|
21 |
21 |
$0.00 |
| 90700 |
|
81 |
81 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
855 |
829 |
$0.00 |
| 99173 |
|
1,160 |
1,114 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,812 |
1,726 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
556 |
540 |
$0.00 |
| Z6400 |
|
209 |
208 |
$0.00 |
| 96160 |
|
2,342 |
2,228 |
$0.00 |
| 90670 |
|
641 |
636 |
$0.00 |
| 92552 |
|
843 |
794 |
$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) |
146 |
141 |
$0.00 |
| 83655 |
|
79 |
72 |
$0.00 |
| 90707 |
|
94 |
94 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
598 |
579 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
16 |
15 |
$0.00 |
| 90715 |
|
330 |
329 |
$0.00 |
| 90633 |
|
384 |
374 |
$0.00 |
| 90734 |
|
168 |
168 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
41 |
41 |
$0.00 |
| Z6500 |
|
72 |
72 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
211 |
204 |
$0.00 |
| 90473 |
|
93 |
93 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
186 |
179 |
$0.00 |
| FLUVF |
|
14 |
14 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| 90681 |
|
121 |
121 |
$0.00 |
| 92015 |
Determination of refractive state |
175 |
175 |
$0.00 |
| Z6414 |
|
12 |
12 |
$0.00 |
| 90713 |
|
55 |
55 |
$0.00 |
| 81002 |
|
16 |
16 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 03 |
Instill, bupivac and meloxic |
21 |
18 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 82948 |
|
77 |
71 |
$0.00 |
| 3078F |
|
28 |
28 |
$0.00 |
| 3046F |
|
14 |
14 |
$0.00 |
| 99001 |
|
30 |
30 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$0.00 |