| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
17,292 |
9,900 |
$2.65M |
| T1015 |
Clinic visit/encounter, all-inclusive |
11,700 |
8,589 |
$1.41M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,115 |
3,753 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,136 |
3,220 |
$29K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
85 |
64 |
$2K |
| 90686 |
|
504 |
362 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
390 |
221 |
$1K |
| 90656 |
|
115 |
74 |
$1K |
| 98940 |
|
51 |
38 |
$1K |
| 92552 |
|
312 |
204 |
$432.83 |
| 90682 |
|
21 |
13 |
$305.00 |
| 81002 |
|
973 |
579 |
$298.51 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
32 |
$217.80 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
79 |
51 |
$164.49 |
| 85018 |
|
578 |
367 |
$133.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
51 |
$80.28 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
13 |
$75.00 |
| 81005 |
|
63 |
40 |
$13.84 |
| 99172 |
|
101 |
80 |
$0.00 |
| 90651 |
|
18 |
12 |
$0.00 |
| 94760 |
|
55 |
36 |
$0.00 |
| 91301 |
|
17 |
15 |
$0.00 |
| 1000F |
|
18 |
13 |
$0.00 |
| 3455F |
|
127 |
106 |
$0.00 |
| 99173 |
|
214 |
149 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$0.00 |