| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
55,953 |
45,340 |
$11.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,003 |
21,481 |
$602K |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,492 |
1,488 |
$389K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,942 |
3,522 |
$172K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,393 |
10,223 |
$134K |
| J3490 |
Unclassified drugs |
864 |
763 |
$16K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
123 |
79 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,966 |
1,948 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,729 |
1,738 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,343 |
1,496 |
$12K |
| 90739 |
|
414 |
316 |
$11K |
| 90651 |
|
1,706 |
1,255 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
297 |
208 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,314 |
849 |
$9K |
| 81025 |
|
5,993 |
4,805 |
$8K |
| 90750 |
|
277 |
215 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,732 |
3,198 |
$6K |
| 90671 |
|
608 |
432 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
127 |
98 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,182 |
7,203 |
$6K |
| 98940 |
|
1,028 |
645 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
190 |
138 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
169 |
136 |
$4K |
| 99385 |
|
76 |
51 |
$3K |
| 99383 |
|
298 |
257 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
225 |
160 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
279 |
166 |
$2K |
| 97802 |
|
287 |
282 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
74 |
52 |
$2K |
| 85018 |
|
12,822 |
8,863 |
$2K |
| 81002 |
|
12,761 |
8,186 |
$2K |
| 90686 |
|
4,052 |
2,976 |
$2K |
| 90716 |
|
551 |
438 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
348 |
319 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
38 |
24 |
$1K |
| 90656 |
|
943 |
651 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,716 |
2,072 |
$979.28 |
| 90715 |
|
1,340 |
956 |
$927.27 |
| 90678 |
|
24 |
14 |
$800.85 |
| 59425 |
|
1,150 |
780 |
$709.44 |
| 99384 |
|
98 |
78 |
$681.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
402 |
295 |
$636.15 |
| 99401 |
|
252 |
217 |
$535.29 |
| 90714 |
|
43 |
32 |
$475.69 |
| 90662 |
|
38 |
28 |
$395.24 |
| 99215 |
Prolong outpt/office vis |
55 |
44 |
$343.20 |
| 99381 |
|
19 |
13 |
$332.18 |
| 97803 |
|
46 |
44 |
$256.39 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
116 |
108 |
$227.07 |
| 90620 |
|
405 |
233 |
$192.00 |
| 93000 |
|
20 |
12 |
$143.50 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
25 |
13 |
$83.60 |
| 87428 |
|
22 |
15 |
$63.59 |
| 92551 |
|
4,907 |
3,518 |
$58.21 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
16 |
14 |
$47.40 |
| 99382 |
|
14 |
12 |
$47.13 |
| 0071A |
|
15 |
15 |
$40.00 |
| 90480 |
|
44 |
33 |
$40.00 |
| 90707 |
|
112 |
80 |
$19.84 |
| 90670 |
|
702 |
484 |
$16.47 |
| 90647 |
|
936 |
640 |
$16.47 |
| 82948 |
|
96 |
72 |
$2.99 |
| 99173 |
|
3,598 |
3,275 |
$0.00 |
| G9920 |
Screening performed and negative |
3,410 |
2,267 |
$0.00 |
| 90461 |
|
1,453 |
1,324 |
$0.00 |
| 1159F |
|
81 |
78 |
$0.00 |
| 4040F |
|
38 |
37 |
$0.00 |
| 90633 |
|
1,637 |
1,262 |
$0.00 |
| Z6200 |
|
647 |
647 |
$0.00 |
| 90734 |
|
334 |
241 |
$0.00 |
| 4274F |
|
303 |
284 |
$0.00 |
| Z6400 |
|
323 |
322 |
$0.00 |
| 90710 |
|
117 |
80 |
$0.00 |
| A4550 |
Surgical trays |
24 |
24 |
$0.00 |
| 91312 |
|
19 |
17 |
$0.00 |
| 90473 |
|
71 |
63 |
$0.00 |
| 3078F |
|
89 |
87 |
$0.00 |
| 1160F |
|
81 |
78 |
$0.00 |
| Z6202 |
|
39 |
39 |
$0.00 |
| 90700 |
|
16 |
14 |
$0.00 |
| 91321 |
|
25 |
14 |
$0.00 |
| 90713 |
|
17 |
16 |
$0.00 |
| 0124A |
|
18 |
16 |
$0.00 |
| Z6304 |
|
16 |
16 |
$0.00 |
| 36416 |
|
213 |
194 |
$0.00 |
| 90680 |
|
434 |
275 |
$0.00 |
| Z1034 |
|
2,319 |
1,644 |
$0.00 |
| 90723 |
|
473 |
320 |
$0.00 |
| 1126F |
|
125 |
121 |
$0.00 |
| 90688 |
|
204 |
148 |
$0.00 |
| Z6406 |
|
172 |
149 |
$0.00 |
| 90674 |
|
53 |
48 |
$0.00 |
| 3008F |
|
437 |
422 |
$0.00 |
| 82962 |
|
732 |
570 |
$0.00 |
| Z6402 |
|
32 |
32 |
$0.00 |
| 4037F |
|
150 |
150 |
$0.00 |
| 2010F |
|
194 |
189 |
$0.00 |
| 90619 |
|
497 |
370 |
$0.00 |
| 2001F |
|
180 |
175 |
$0.00 |
| 1036F |
|
171 |
164 |
$0.00 |
| 91307 |
|
49 |
42 |
$0.00 |
| Z6204 |
|
43 |
43 |
$0.00 |
| 90697 |
|
178 |
107 |
$0.00 |
| Z1032 |
|
124 |
124 |
$0.00 |
| 3074F |
|
110 |
107 |
$0.00 |
| Z6410 |
|
79 |
72 |
$0.00 |
| 90474 |
|
107 |
103 |
$0.00 |
| Z6404 |
|
74 |
74 |
$0.00 |
| 90696 |
|
13 |
12 |
$0.00 |
| 90744 |
|
13 |
12 |
$0.00 |