| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
109,053 |
88,454 |
$25.17M |
| 00003 |
Internal/system code - not a standard HCPCS code |
37,551 |
31,635 |
$11.65M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,158 |
20,963 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,366 |
22,530 |
$36K |
| G9920 |
Screening performed and negative |
8,304 |
8,194 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,339 |
9,342 |
$13K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,308 |
1,158 |
$11K |
| 0002A |
|
156 |
156 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
502 |
479 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
268 |
246 |
$5K |
| 0011A |
|
63 |
63 |
$4K |
| 0071A |
|
62 |
62 |
$4K |
| 0001A |
|
60 |
60 |
$4K |
| 0012A |
|
56 |
56 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,149 |
1,147 |
$4K |
| 97810 |
|
473 |
334 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
1,303 |
1,266 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,828 |
4,695 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
484 |
469 |
$2K |
| 0004A |
|
27 |
27 |
$2K |
| 0072A |
|
25 |
25 |
$2K |
| 92551 |
|
3,457 |
3,447 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
523 |
420 |
$778.10 |
| 90837 |
Psychotherapy, 53 minutes with patient |
449 |
319 |
$644.27 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,268 |
1,267 |
$570.05 |
| 91320 |
|
43 |
42 |
$393.30 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
75 |
57 |
$319.16 |
| 81002 |
|
1,467 |
1,181 |
$279.50 |
| 90656 |
|
789 |
780 |
$160.00 |
| 86703 |
|
420 |
416 |
$156.06 |
| 99201 |
|
18 |
18 |
$135.30 |
| 81025 |
|
152 |
146 |
$114.80 |
| 85018 |
|
2,091 |
2,069 |
$105.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,912 |
3,885 |
$74.89 |
| G9919 |
Screening performed and positive and provision of recommendations |
13 |
13 |
$29.00 |
| 99173 |
|
3,604 |
3,592 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,077 |
1,073 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
696 |
686 |
$0.00 |
| 1159F |
|
6,593 |
5,998 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
937 |
888 |
$0.00 |
| 90461 |
|
1,171 |
1,165 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,521 |
1,516 |
$0.00 |
| 3078F |
|
1,019 |
945 |
$0.00 |
| 90710 |
|
65 |
64 |
$0.00 |
| 99188 |
|
2,887 |
2,871 |
$0.00 |
| 96160 |
|
14,239 |
14,143 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
233 |
232 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,189 |
3,160 |
$0.00 |
| 1160F |
|
2,192 |
2,006 |
$0.00 |
| 92015 |
Determination of refractive state |
459 |
458 |
$0.00 |
| 98940 |
|
116 |
64 |
$0.00 |
| M1016 |
Female patients unable to bear children |
787 |
744 |
$0.00 |
| 90670 |
|
197 |
197 |
$0.00 |
| 90687 |
|
97 |
97 |
$0.00 |
| 83655 |
|
345 |
345 |
$0.00 |
| 90715 |
|
169 |
168 |
$0.00 |
| 82947 |
|
412 |
404 |
$0.00 |
| Z6400 |
|
509 |
472 |
$0.00 |
| 90734 |
|
81 |
81 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
196 |
196 |
$0.00 |
| 90633 |
|
79 |
79 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
61 |
58 |
$0.00 |
| 90681 |
|
44 |
44 |
$0.00 |
| 0502F |
|
191 |
153 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
39 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$0.00 |
| 1158F |
|
54 |
54 |
$0.00 |
| G0246 |
Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education |
12 |
12 |
$0.00 |
| Z6304 |
|
39 |
38 |
$0.00 |
| Z6302 |
|
12 |
12 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| 3079F |
|
101 |
93 |
$0.00 |
| 87428 |
|
26 |
26 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
20,367 |
18,836 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
170 |
162 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
743 |
662 |
$0.00 |
| 3074F |
|
1,159 |
1,066 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,186 |
1,178 |
$0.00 |
| Z6204 |
|
406 |
363 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
194 |
174 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
339 |
337 |
$0.00 |
| 90619 |
|
81 |
81 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,175 |
912 |
$0.00 |
| 90686 |
|
2,481 |
2,477 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
42 |
28 |
$0.00 |
| 0501F |
|
82 |
68 |
$0.00 |
| 90651 |
|
508 |
507 |
$0.00 |
| Z6406 |
|
40 |
39 |
$0.00 |
| 90688 |
|
104 |
104 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
147 |
146 |
$0.00 |
| 99384 |
|
41 |
40 |
$0.00 |
| Z1034 |
|
98 |
82 |
$0.00 |
| 90697 |
|
297 |
297 |
$0.00 |
| 92250 |
|
399 |
399 |
$0.00 |
| 90677 |
|
400 |
400 |
$0.00 |
| Z6410 |
|
121 |
114 |
$0.00 |
| 90620 |
|
85 |
84 |
$0.00 |
| Z6402 |
|
13 |
13 |
$0.00 |
| 1123F |
|
54 |
54 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 3044F |
|
36 |
34 |
$0.00 |
| 99383 |
|
41 |
41 |
$0.00 |
| 99385 |
|
14 |
14 |
$0.00 |
| 87650 |
|
13 |
12 |
$0.00 |