| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
83,452 |
70,627 |
$14.60M |
| 00003 |
Internal/system code - not a standard HCPCS code |
5,191 |
5,184 |
$1.08M |
| 0002A |
|
374 |
273 |
$19K |
| 0001A |
|
330 |
275 |
$17K |
| 0011A |
|
24 |
18 |
$876.25 |
| Z1034 |
|
10,211 |
7,265 |
$713.04 |
| G9920 |
Screening performed and negative |
626 |
604 |
$435.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
748 |
739 |
$119.80 |
| 81000 |
|
11,165 |
11,055 |
$0.00 |
| 90651 |
|
1,783 |
1,776 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
1,598 |
1,597 |
$0.00 |
| 90686 |
|
5,660 |
5,612 |
$0.00 |
| 92551 |
|
12,158 |
12,086 |
$0.00 |
| 99000 |
|
11,924 |
11,629 |
$0.00 |
| Z6406 |
|
1,456 |
1,385 |
$0.00 |
| 96161 |
|
98 |
98 |
$0.00 |
| 90698 |
|
1,412 |
1,405 |
$0.00 |
| 96156 |
|
2,140 |
2,126 |
$0.00 |
| 90716 |
|
1,647 |
1,640 |
$0.00 |
| 85018 |
|
16,557 |
16,442 |
$0.00 |
| Z1032 |
|
1,473 |
1,468 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,011 |
5,959 |
$0.00 |
| 90680 |
|
1,060 |
1,055 |
$0.00 |
| 90744 |
|
1,502 |
1,493 |
$0.00 |
| Z6204 |
|
1,509 |
1,427 |
$0.00 |
| D0602 |
|
508 |
508 |
$0.00 |
| D0601 |
|
1,033 |
1,033 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
974 |
960 |
$0.00 |
| Z6410 |
|
406 |
347 |
$0.00 |
| 96150 |
|
920 |
897 |
$0.00 |
| 96127 |
|
5,940 |
5,807 |
$0.00 |
| Z1038 |
|
385 |
385 |
$0.00 |
| 90620 |
|
1,089 |
1,083 |
$0.00 |
| 90677 |
|
511 |
509 |
$0.00 |
| 99383 |
|
96 |
96 |
$0.00 |
| Z6404 |
|
380 |
369 |
$0.00 |
| D0603 |
|
83 |
83 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$0.00 |
| 99381 |
|
540 |
523 |
$0.00 |
| 86580 |
|
242 |
239 |
$0.00 |
| 90696 |
|
406 |
400 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
126 |
104 |
$0.00 |
| 99384 |
|
29 |
29 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
23 |
15 |
$0.00 |
| 91301 |
|
13 |
13 |
$0.00 |
| 96151 |
|
14 |
14 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,268 |
3,226 |
$0.00 |
| 90715 |
|
786 |
783 |
$0.00 |
| 90681 |
|
107 |
107 |
$0.00 |
| 90670 |
|
1,771 |
1,763 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,458 |
1,373 |
$0.00 |
| 90700 |
|
717 |
716 |
$0.00 |
| S0197 |
Prenatal vitamins, 30-day supply |
1,402 |
1,392 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,329 |
4,299 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41,626 |
37,686 |
$0.00 |
| 90734 |
|
1,282 |
1,272 |
$0.00 |
| 99173 |
|
12,855 |
12,754 |
$0.00 |
| Z6304 |
|
684 |
637 |
$0.00 |
| 83655 |
|
833 |
831 |
$0.00 |
| Z6400 |
|
2,250 |
2,143 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,672 |
1,666 |
$0.00 |
| Z6500 |
|
1,004 |
1,000 |
$0.00 |
| Z6208 |
|
220 |
220 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
214 |
212 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,621 |
4,576 |
$0.00 |
| 81025 |
|
1,370 |
1,364 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,085 |
689 |
$0.00 |
| 90633 |
|
1,495 |
1,491 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,682 |
5,640 |
$0.00 |
| D9430 |
|
4,480 |
4,473 |
$0.00 |
| 90707 |
|
1,386 |
1,377 |
$0.00 |
| 90713 |
|
330 |
329 |
$0.00 |
| Z6414 |
|
224 |
224 |
$0.00 |
| 90661 |
|
396 |
396 |
$0.00 |
| 0502F |
|
1,176 |
929 |
$0.00 |
| 90648 |
|
448 |
446 |
$0.00 |
| 90714 |
|
140 |
139 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
296 |
296 |
$0.00 |
| Z6308 |
|
12 |
12 |
$0.00 |
| Z6202 |
|
363 |
350 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
231 |
230 |
$0.00 |
| D0190 |
|
20 |
20 |
$0.00 |
| 99382 |
|
25 |
24 |
$0.00 |
| Z6302 |
|
29 |
29 |
$0.00 |
| 96160 |
|
27 |
26 |
$0.00 |
| 90672 |
|
332 |
332 |
$0.00 |