| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
61,955 |
54,300 |
$10.19M |
| 00003 |
Internal/system code - not a standard HCPCS code |
18,975 |
15,482 |
$4.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77,313 |
67,885 |
$1.12M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,710 |
11,898 |
$296K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,453 |
3,427 |
$190K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,302 |
2,290 |
$169K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,490 |
3,449 |
$164K |
| 92551 |
|
7,939 |
7,878 |
$100K |
| 90686 |
|
5,112 |
5,068 |
$79K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,126 |
2,117 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,572 |
1,556 |
$58K |
| 90651 |
|
1,272 |
1,265 |
$44K |
| 90670 |
|
1,980 |
1,961 |
$29K |
| 99173 |
|
7,810 |
7,748 |
$28K |
| 90715 |
|
1,155 |
1,148 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
248 |
248 |
$24K |
| 90648 |
|
1,768 |
1,745 |
$20K |
| 90633 |
|
1,018 |
996 |
$16K |
| 85018 |
|
11,324 |
11,165 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,132 |
1,103 |
$14K |
| 90723 |
|
1,186 |
1,183 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
205 |
205 |
$13K |
| 90734 |
|
744 |
737 |
$12K |
| 81003 |
|
9,151 |
8,884 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
129 |
$9K |
| 90680 |
|
706 |
706 |
$7K |
| 90656 |
|
571 |
571 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,029 |
516 |
$6K |
| 90620 |
|
240 |
240 |
$6K |
| 90682 |
|
256 |
253 |
$5K |
| G9920 |
Screening performed and negative |
310 |
310 |
$5K |
| 90677 |
|
62 |
61 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
599 |
571 |
$4K |
| 81025 |
|
1,752 |
1,688 |
$4K |
| 90710 |
|
144 |
143 |
$3K |
| 93000 |
|
129 |
129 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
624 |
622 |
$3K |
| 90750 |
|
13 |
13 |
$2K |
| 82962 |
|
1,774 |
1,676 |
$2K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
89 |
62 |
$2K |
| 90707 |
|
100 |
96 |
$2K |
| 90716 |
|
91 |
88 |
$2K |
| 90619 |
|
112 |
112 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
67 |
$2K |
| 90696 |
|
79 |
78 |
$1K |
| 90647 |
|
186 |
185 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
269 |
264 |
$895.03 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
13 |
13 |
$680.42 |
| 90700 |
|
27 |
26 |
$481.50 |
| 87807 |
|
76 |
76 |
$402.04 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
43 |
43 |
$327.18 |
| 90672 |
|
18 |
18 |
$324.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
21 |
14 |
$264.78 |
| 98940 |
|
15 |
12 |
$248.25 |
| 90671 |
|
73 |
73 |
$234.00 |
| 86580 |
|
54 |
51 |
$177.50 |
| 99188 |
|
129 |
129 |
$88.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
14 |
$1.69 |
| 3075F |
|
792 |
781 |
$0.00 |
| 3044F |
|
262 |
262 |
$0.00 |
| 3048F |
|
81 |
81 |
$0.00 |
| 1036F |
|
4,650 |
4,279 |
$0.00 |
| 3008F |
|
3,899 |
3,702 |
$0.00 |
| 3079F |
|
1,129 |
1,113 |
$0.00 |
| 2001F |
|
3,898 |
3,701 |
$0.00 |
| 3074F |
|
5,177 |
4,947 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
107 |
107 |
$0.00 |
| 3080F |
|
264 |
258 |
$0.00 |
| 3052F |
|
27 |
27 |
$0.00 |
| 3049F |
|
16 |
16 |
$0.00 |
| 90673 |
|
25 |
25 |
$0.00 |
| 3078F |
|
5,312 |
5,084 |
$0.00 |
| 3046F |
|
157 |
152 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
237 |
237 |
$0.00 |
| 3050F |
|
26 |
26 |
$0.00 |
| 3077F |
|
557 |
544 |
$0.00 |
| 3051F |
|
143 |
142 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |