| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
69,278 |
59,805 |
$7.56M |
| 00003 |
Internal/system code - not a standard HCPCS code |
10,139 |
7,727 |
$1.75M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,147 |
9,319 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,018 |
893 |
$2K |
| 99215 |
Prolong outpt/office vis |
80 |
60 |
$617.76 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
769 |
767 |
$103.97 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
697 |
695 |
$72.42 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,286 |
1,217 |
$49.09 |
| 90723 |
|
163 |
162 |
$9.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,651 |
1,611 |
$6.71 |
| 86580 |
|
259 |
253 |
$4.03 |
| 85018 |
|
2,191 |
2,183 |
$0.00 |
| 1036F |
|
548 |
512 |
$0.00 |
| 3074F |
|
183 |
173 |
$0.00 |
| 90698 |
|
258 |
258 |
$0.00 |
| 92551 |
|
1,391 |
1,383 |
$0.00 |
| 99381 |
|
62 |
62 |
$0.00 |
| 3048F |
|
30 |
29 |
$0.00 |
| 3079F |
|
52 |
50 |
$0.00 |
| 90680 |
|
476 |
476 |
$0.00 |
| 90686 |
|
1,828 |
1,822 |
$0.00 |
| 1111F |
|
440 |
418 |
$0.00 |
| 2001F |
|
628 |
588 |
$0.00 |
| 90744 |
|
173 |
173 |
$0.00 |
| 90651 |
|
176 |
175 |
$0.00 |
| 3008F |
|
628 |
588 |
$0.00 |
| 90688 |
|
63 |
63 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
48 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
364 |
344 |
$0.00 |
| 90647 |
|
105 |
104 |
$0.00 |
| 90696 |
|
16 |
16 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
870 |
867 |
$0.00 |
| 99173 |
|
1,500 |
1,494 |
$0.00 |
| 90648 |
|
275 |
274 |
$0.00 |
| 90633 |
|
242 |
239 |
$0.00 |
| 90685 |
|
20 |
20 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
567 |
562 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
319 |
300 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
48 |
46 |
$0.00 |
| 90670 |
|
754 |
752 |
$0.00 |
| 90734 |
|
86 |
86 |
$0.00 |
| 3078F |
|
94 |
91 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90700 |
|
85 |
85 |
$0.00 |