| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
68,919 |
60,465 |
$13.37M |
| 00003 |
Internal/system code - not a standard HCPCS code |
5,453 |
4,497 |
$1.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,679 |
28,602 |
$520K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,790 |
11,199 |
$262K |
| 59425 |
|
3,389 |
2,590 |
$202K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
864 |
802 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,501 |
1,991 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,113 |
2,634 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,454 |
1,231 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,769 |
1,527 |
$52K |
| 96156 |
|
1,222 |
1,217 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,212 |
4,245 |
$48K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
348 |
264 |
$43K |
| 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 |
3,557 |
2,686 |
$32K |
| 90837 |
Psychotherapy, 53 minutes with patient |
473 |
377 |
$29K |
| G9012 |
Other specified case management service not elsewhere classified |
39 |
39 |
$25K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,538 |
3,537 |
$24K |
| 92551 |
|
2,796 |
2,771 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
284 |
198 |
$22K |
| 90677 |
|
548 |
541 |
$19K |
| 90686 |
|
1,900 |
1,883 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
360 |
318 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
549 |
487 |
$12K |
| 96151 |
|
693 |
691 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
108 |
91 |
$11K |
| 82274 |
|
541 |
541 |
$8K |
| 90670 |
|
683 |
673 |
$8K |
| 99381 |
|
325 |
309 |
$7K |
| 85018 |
|
5,205 |
5,133 |
$7K |
| 90723 |
|
799 |
783 |
$5K |
| 90651 |
|
437 |
433 |
$5K |
| 90647 |
|
713 |
701 |
$4K |
| 90633 |
|
603 |
591 |
$3K |
| 96127 |
|
905 |
885 |
$3K |
| 90619 |
|
70 |
70 |
$3K |
| 90681 |
|
349 |
344 |
$3K |
| 90734 |
|
218 |
206 |
$2K |
| 0012A |
|
42 |
42 |
$2K |
| 99386 |
|
20 |
15 |
$2K |
| 83655 |
|
359 |
356 |
$2K |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$2K |
| 81002 |
|
1,207 |
1,022 |
$2K |
| 59430 |
|
26 |
26 |
$2K |
| 0064A |
|
28 |
28 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
116 |
116 |
$1K |
| 99385 |
|
32 |
26 |
$1K |
| 0001A |
|
44 |
43 |
$1K |
| 90715 |
|
170 |
168 |
$1K |
| 90716 |
|
182 |
177 |
$1K |
| 0011A |
|
18 |
18 |
$938.00 |
| 99384 |
|
19 |
12 |
$678.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
430 |
429 |
$646.66 |
| 92552 |
|
26 |
26 |
$433.11 |
| 90707 |
|
68 |
68 |
$355.70 |
| 90700 |
|
64 |
64 |
$216.00 |
| 90656 |
|
75 |
75 |
$201.46 |
| 90710 |
|
25 |
25 |
$153.00 |
| 90696 |
|
13 |
13 |
$117.00 |
| 90381 |
|
16 |
16 |
$108.00 |
| 81003 |
|
38 |
38 |
$70.60 |
| 99000 |
|
14 |
13 |
$46.67 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
41 |
$44.25 |
| 82962 |
|
19 |
19 |
$36.00 |
| 81025 |
|
12 |
12 |
$33.60 |
| 90648 |
|
13 |
13 |
$27.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,870 |
1,196 |
$0.00 |
| 99173 |
|
851 |
848 |
$0.00 |
| 90461 |
|
636 |
561 |
$0.00 |
| 99442 |
|
225 |
217 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90750 |
|
13 |
13 |
$0.00 |
| Z1034 |
|
2,718 |
2,088 |
$0.00 |
| 99443 |
|
205 |
199 |
$0.00 |
| Z1032 |
|
82 |
76 |
$0.00 |
| 96161 |
|
26 |
24 |
$0.00 |
| Z1038 |
|
45 |
40 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
16 |
16 |
$0.00 |
| 99383 |
|
13 |
13 |
$0.00 |