| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,304 |
30,532 |
$8.10M |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,843 |
1,465 |
$467K |
| 0064A |
|
27 |
27 |
$2K |
| 0001A |
|
26 |
23 |
$1K |
| 0011A |
|
19 |
16 |
$1K |
| 0004A |
|
14 |
14 |
$938.00 |
| 0002A |
|
14 |
14 |
$844.01 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,690 |
12,686 |
$31.67 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,887 |
10,755 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,592 |
1,542 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
711 |
507 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
58 |
55 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
55 |
$0.00 |
| 3074F |
|
15 |
13 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
312 |
255 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
101 |
99 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
182 |
175 |
$0.00 |
| 81002 |
|
905 |
698 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
63 |
63 |
$0.00 |
| 3725F |
|
88 |
85 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
217 |
209 |
$0.00 |
| 90461 |
|
109 |
107 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
132 |
132 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$0.00 |
| 92552 |
|
64 |
64 |
$0.00 |
| 99173 |
|
63 |
63 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
43 |
$0.00 |
| Z6500 |
|
36 |
35 |
$0.00 |
| 3078F |
|
15 |
13 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$0.00 |