| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,937 |
6,120 |
$1.81M |
| 00003 |
Internal/system code - not a standard HCPCS code |
5,492 |
3,863 |
$949K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,227 |
2,183 |
$47K |
| 90832 |
Psychotherapy, 30 minutes with patient |
438 |
176 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
123 |
104 |
$3K |
| 92552 |
|
208 |
195 |
$2K |
| 90686 |
|
230 |
179 |
$857.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
78 |
$593.50 |
| 99384 |
|
12 |
12 |
$573.26 |
| 85018 |
|
385 |
330 |
$324.69 |
| 90656 |
|
13 |
13 |
$287.54 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$221.58 |
| 81025 |
|
78 |
78 |
$158.76 |
| 90649 |
|
13 |
13 |
$119.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
57 |
28 |
$60.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
12 |
$45.54 |
| 82962 |
|
27 |
15 |
$22.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
71 |
53 |
$15.73 |
| 99173 |
|
110 |
94 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
12 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |