| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
42,619 |
34,071 |
$6.11M |
| 00003 |
Internal/system code - not a standard HCPCS code |
2,516 |
1,844 |
$424K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,896 |
1,815 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,925 |
24,673 |
$118K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,564 |
16,657 |
$31K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,080 |
1,043 |
$17K |
| 0001A |
|
275 |
167 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,845 |
3,489 |
$9K |
| 0002A |
|
169 |
100 |
$9K |
| 0031A |
|
140 |
139 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
420 |
409 |
$4K |
| 99385 |
|
429 |
426 |
$4K |
| 98940 |
|
3,730 |
1,972 |
$4K |
| 0012A |
|
76 |
42 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
268 |
263 |
$3K |
| 99386 |
|
71 |
70 |
$2K |
| 0011A |
|
52 |
31 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
143 |
143 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
137 |
137 |
$2K |
| 99000 |
|
1,404 |
1,321 |
$1K |
| 0013A |
|
22 |
12 |
$1K |
| 93000 |
|
66 |
66 |
$249.72 |
| A4267 |
Contraceptive supply, condom, male, each |
46 |
46 |
$228.16 |
| 99173 |
|
579 |
578 |
$224.27 |
| 36415 |
Collection of venous blood by venipuncture |
843 |
826 |
$147.00 |
| 81002 |
|
617 |
571 |
$104.23 |
| 96127 |
|
21 |
21 |
$38.43 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
50 |
$35.64 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
33 |
33 |
$23.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$13.38 |
| 3078F |
|
1,930 |
1,714 |
$0.54 |
| 3074F |
|
2,169 |
1,919 |
$0.50 |
| 3079F |
|
810 |
757 |
$0.17 |
| 3075F |
|
343 |
327 |
$0.13 |
| 3080F |
|
197 |
185 |
$0.05 |
| M1016 |
Female patients unable to bear children |
317 |
254 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
53 |
41 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
65 |
47 |
$0.00 |
| 3077F |
|
156 |
142 |
$0.00 |
| 1159F |
|
152 |
152 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
60 |
59 |
$0.00 |
| 99201 |
|
14 |
14 |
$0.00 |
| 81000 |
|
12 |
12 |
$0.00 |
| 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 |
69 |
57 |
$0.00 |
| 91301 |
|
14 |
14 |
$0.00 |