| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,239 |
18,254 |
$2.86M |
| 00003 |
Internal/system code - not a standard HCPCS code |
3,171 |
2,787 |
$530K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,781 |
6,506 |
$60K |
| 0001A |
|
590 |
452 |
$28K |
| 0002A |
|
410 |
316 |
$19K |
| G9012 |
Other specified case management service not elsewhere classified |
338 |
235 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
347 |
337 |
$2K |
| D1310 |
|
408 |
258 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
58 |
58 |
$607.95 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
282 |
277 |
$552.85 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
74 |
41 |
$270.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
140 |
135 |
$210.83 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
151 |
146 |
$174.05 |
| D9993 |
|
161 |
160 |
$140.00 |
| 0031A |
|
59 |
59 |
$120.00 |
| 81025 |
|
50 |
49 |
$114.80 |
| 99201 |
|
12 |
12 |
$49.96 |
| D0603 |
|
89 |
57 |
$31.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$12.00 |
| D0210 |
Intraoral - complete series of radiographic images |
19 |
14 |
$9.00 |
| 99173 |
|
302 |
302 |
$2.28 |
| 99000 |
|
566 |
552 |
$0.00 |
| 3074F |
|
2,737 |
2,653 |
$0.00 |
| 3079F |
|
428 |
423 |
$0.00 |
| D1330 |
|
266 |
163 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
838 |
825 |
$0.00 |
| 3075F |
|
153 |
147 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
229 |
228 |
$0.00 |
| 90688 |
|
133 |
133 |
$0.00 |
| 99441 |
|
13 |
13 |
$0.00 |
| 82270 |
|
14 |
13 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 91303 |
|
57 |
49 |
$0.00 |
| 90674 |
|
17 |
17 |
$0.00 |
| 3008F |
|
23 |
23 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 3078F |
|
2,835 |
2,743 |
$0.00 |
| 99442 |
|
695 |
651 |
$0.00 |
| 92552 |
|
118 |
118 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
20 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
40 |
$0.00 |
| 3077F |
|
322 |
311 |
$0.00 |
| 80061 |
Lipid panel |
442 |
440 |
$0.00 |
| 91300 |
|
182 |
166 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 85049 |
|
18 |
18 |
$0.00 |