| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,387 |
18,471 |
$2.88M |
| 00003 |
Internal/system code - not a standard HCPCS code |
10,378 |
7,051 |
$1.65M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,608 |
16,382 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,374 |
4,774 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,070 |
4,554 |
$10K |
| 93000 |
|
429 |
405 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
148 |
132 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
868 |
805 |
$2K |
| 94760 |
|
450 |
429 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,272 |
1,091 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
456 |
387 |
$896.33 |
| 99201 |
|
27 |
27 |
$786.37 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
220 |
183 |
$537.76 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
307 |
289 |
$516.54 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
192 |
175 |
$488.52 |
| 92551 |
|
3,126 |
3,036 |
$440.94 |
| G9012 |
Other specified case management service not elsewhere classified |
15 |
13 |
$300.00 |
| 99000 |
|
4,905 |
4,321 |
$232.53 |
| 99406 |
|
843 |
731 |
$228.92 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
110 |
105 |
$218.70 |
| 94200 |
|
13 |
13 |
$188.82 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
85 |
79 |
$102.90 |
| 81002 |
|
3,185 |
3,011 |
$88.42 |
| 82948 |
|
27 |
26 |
$60.97 |
| 1125F |
|
181 |
177 |
$58.90 |
| 99173 |
|
2,788 |
2,687 |
$56.79 |
| 1159F |
|
416 |
399 |
$53.25 |
| 86580 |
|
12 |
12 |
$33.30 |
| 3008F |
|
133 |
132 |
$0.00 |
| 3075F |
|
764 |
659 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,295 |
1,746 |
$0.00 |
| 3074F |
|
5,876 |
5,027 |
$0.00 |
| 1036F |
|
307 |
271 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
970 |
756 |
$0.00 |
| 3080F |
|
648 |
544 |
$0.00 |
| 3079F |
|
1,759 |
1,556 |
$0.00 |
| 1035F |
|
384 |
339 |
$0.00 |
| 81000 |
|
17 |
16 |
$0.00 |
| 36416 |
|
351 |
329 |
$0.00 |
| 0001F |
|
110 |
96 |
$0.00 |
| 88142 |
|
13 |
13 |
$0.00 |
| 90686 |
|
102 |
102 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| V5008 |
Hearing screening |
34 |
17 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
17 |
12 |
$0.00 |
| 81001 |
|
28 |
13 |
$0.00 |
| 88150 |
|
103 |
103 |
$0.00 |
| 1126F |
|
246 |
238 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
39 |
$0.00 |
| 90688 |
|
14 |
14 |
$0.00 |
| 3351F |
|
32 |
32 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
35 |
33 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
16 |
16 |
$0.00 |
| 3078F |
|
5,216 |
4,481 |
$0.00 |
| 81025 |
|
401 |
389 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,215 |
2,365 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
286 |
266 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
77 |
77 |
$0.00 |
| 3077F |
|
1,092 |
914 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
171 |
159 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
75 |
73 |
$0.00 |
| 90734 |
|
31 |
26 |
$0.00 |
| 1032F |
|
43 |
41 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
173 |
170 |
$0.00 |
| G9920 |
Screening performed and negative |
115 |
66 |
$0.00 |
| 99446 |
|
34 |
34 |
$0.00 |
| 90649 |
|
32 |
29 |
$0.00 |
| 90461 |
|
17 |
15 |
$0.00 |