| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
118,280 |
99,727 |
$17.97M |
| 00003 |
Internal/system code - not a standard HCPCS code |
31,208 |
27,654 |
$7.63M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100,480 |
58,224 |
$254K |
| 90832 |
Psychotherapy, 30 minutes with patient |
9,327 |
3,600 |
$116K |
| 80305 |
|
8,748 |
4,214 |
$85K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,147 |
1,025 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21,682 |
12,164 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,724 |
18,913 |
$55K |
| J3490 |
Unclassified drugs |
762 |
634 |
$35K |
| 90686 |
|
2,691 |
1,994 |
$28K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,157 |
4,495 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,556 |
1,049 |
$23K |
| 90791 |
Psychiatric diagnostic evaluation |
761 |
540 |
$16K |
| H0049 |
Alcohol and/or drug screening |
6,730 |
6,708 |
$16K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
887 |
347 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
833 |
309 |
$11K |
| 11721 |
|
620 |
445 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,941 |
1,806 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,439 |
1,453 |
$7K |
| 90715 |
|
609 |
404 |
$6K |
| G9920 |
Screening performed and negative |
487 |
309 |
$6K |
| 90651 |
|
994 |
587 |
$6K |
| 92551 |
|
6,721 |
4,130 |
$5K |
| 90688 |
|
276 |
251 |
$5K |
| 0011A |
|
70 |
69 |
$5K |
| 0012A |
|
66 |
66 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
257 |
188 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
119 |
66 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
559 |
403 |
$3K |
| 81025 |
|
1,246 |
1,082 |
$3K |
| 90734 |
|
560 |
342 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
995 |
635 |
$3K |
| 0064A |
|
33 |
33 |
$2K |
| 91322 |
|
28 |
28 |
$2K |
| S4993 |
Contraceptive pills for birth control |
52 |
52 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
241 |
171 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
336 |
230 |
$2K |
| 0134A |
|
24 |
24 |
$1K |
| 90656 |
|
162 |
104 |
$1K |
| 90670 |
|
110 |
79 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,693 |
1,612 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
152 |
106 |
$1K |
| 0002A |
|
17 |
17 |
$1K |
| A4267 |
Contraceptive supply, condom, male, each |
116 |
114 |
$1K |
| 81002 |
|
2,424 |
2,001 |
$1K |
| 20610 |
|
16 |
16 |
$961.59 |
| 0124A |
|
12 |
12 |
$804.00 |
| 99384 |
|
67 |
43 |
$657.80 |
| 90619 |
|
126 |
65 |
$549.00 |
| 85610 |
|
338 |
199 |
$530.48 |
| 99383 |
|
44 |
25 |
$383.81 |
| 99215 |
Prolong outpt/office vis |
187 |
102 |
$343.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
721 |
503 |
$302.42 |
| 11055 |
|
12 |
12 |
$291.48 |
| 92552 |
|
107 |
84 |
$286.11 |
| 90662 |
|
93 |
87 |
$225.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37 |
27 |
$208.14 |
| 90710 |
|
46 |
26 |
$198.00 |
| 90696 |
|
21 |
12 |
$99.00 |
| 90698 |
|
24 |
15 |
$90.00 |
| 90671 |
|
21 |
13 |
$81.00 |
| 85018 |
|
371 |
370 |
$72.45 |
| 81000 |
|
55 |
53 |
$30.44 |
| G9919 |
Screening performed and positive and provision of recommendations |
39 |
38 |
$29.00 |
| 82044 |
|
16 |
12 |
$23.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
707 |
704 |
$8.92 |
| 86580 |
|
79 |
65 |
$6.72 |
| 99173 |
|
2,871 |
2,862 |
$0.00 |
| 99442 |
|
1,547 |
1,296 |
$0.00 |
| 99441 |
|
1,246 |
1,104 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
189 |
189 |
$0.00 |
| 94760 |
|
29 |
25 |
$0.00 |
| 90480 |
|
14 |
14 |
$0.00 |