| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
41,531 |
29,714 |
$3.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,793 |
21,442 |
$2.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,762 |
8,980 |
$1.51M |
| 90837 |
Psychotherapy, 53 minutes with patient |
12,565 |
5,930 |
$779K |
| 00003 |
Internal/system code - not a standard HCPCS code |
3,355 |
2,745 |
$512K |
| 97802 |
|
9,120 |
8,445 |
$329K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,359 |
3,762 |
$207K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
821 |
817 |
$144K |
| 90791 |
Psychiatric diagnostic evaluation |
1,593 |
1,517 |
$111K |
| 80053 |
Comprehensive metabolic panel |
2,142 |
2,054 |
$92K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
311 |
308 |
$92K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
342 |
342 |
$84K |
| 80061 |
Lipid panel |
1,963 |
1,918 |
$83K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,944 |
2,588 |
$65K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,550 |
1,488 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
263 |
258 |
$59K |
| 99385 |
|
336 |
286 |
$58K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,262 |
1,198 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
956 |
871 |
$36K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,361 |
947 |
$35K |
| 99401 |
|
1,766 |
1,685 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,691 |
1,628 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,290 |
1,220 |
$31K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
212 |
212 |
$30K |
| 92552 |
|
1,653 |
1,504 |
$29K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,278 |
1,266 |
$27K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
462 |
443 |
$25K |
| G9012 |
Other specified case management service not elsewhere classified |
41 |
41 |
$23K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,106 |
492 |
$21K |
| 90686 |
|
1,430 |
1,378 |
$19K |
| 93000 |
|
261 |
261 |
$15K |
| 86701 |
|
325 |
312 |
$12K |
| 99173 |
|
795 |
748 |
$10K |
| 36416 |
|
1,184 |
1,125 |
$8K |
| 88150 |
|
171 |
171 |
$7K |
| 90656 |
|
267 |
267 |
$6K |
| 90732 |
|
78 |
78 |
$5K |
| 88738 |
|
1,094 |
1,044 |
$5K |
| 99386 |
|
12 |
12 |
$4K |
| 86592 |
|
277 |
265 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
54 |
$3K |
| 90715 |
|
91 |
91 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
40 |
$2K |
| 97810 |
|
368 |
244 |
$2K |
| 96127 |
|
643 |
440 |
$1K |
| 99215 |
Prolong outpt/office vis |
34 |
18 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
188 |
165 |
$1K |
| 90688 |
|
61 |
61 |
$1K |
| 97811 |
|
307 |
219 |
$1K |
| 81025 |
|
44 |
44 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
229 |
159 |
$648.73 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
229 |
159 |
$644.62 |
| 0013A |
|
15 |
15 |
$600.00 |
| 81002 |
|
33 |
31 |
$419.88 |
| 85018 |
|
25 |
25 |
$398.07 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
561 |
560 |
$263.95 |
| 86580 |
|
13 |
13 |
$260.00 |
| 86803 |
|
269 |
172 |
$208.00 |
| 3008F |
|
2,245 |
1,961 |
$195.43 |
| 87400 |
|
52 |
27 |
$140.34 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$123.98 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
174 |
107 |
$105.87 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
12 |
$60.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
258 |
188 |
$42.88 |
| 86780 |
|
119 |
76 |
$12.06 |
| 82947 |
|
13 |
12 |
$3.11 |
| 3078F |
|
345 |
259 |
$0.00 |
| 99408 |
|
492 |
377 |
$0.00 |
| 3077F |
|
20 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 99201 |
|
12 |
12 |
$0.00 |
| 3074F |
|
363 |
281 |
$0.00 |
| 3075F |
|
88 |
65 |
$0.00 |
| 3079F |
|
122 |
91 |
$0.00 |
| 87340 |
|
56 |
52 |
$0.00 |