| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,805 |
15,607 |
$5.69M |
| 00003 |
Internal/system code - not a standard HCPCS code |
7,712 |
6,784 |
$3.17M |
| 0510 |
|
16,134 |
15,303 |
$1.32M |
| 0001A |
|
5,058 |
3,837 |
$89K |
| 0002A |
|
5,206 |
3,661 |
$67K |
| 0004A |
|
754 |
754 |
$28K |
| 0011A |
|
937 |
667 |
$26K |
| 0064A |
|
318 |
318 |
$11K |
| 0012A |
|
1,048 |
694 |
$11K |
| 0054A |
|
289 |
282 |
$10K |
| 0071A |
|
234 |
234 |
$9K |
| 0052A |
|
88 |
88 |
$3K |
| 0124A |
|
71 |
62 |
$3K |
| 0051A |
|
44 |
44 |
$2K |
| 0072A |
|
27 |
27 |
$1K |
| 91322 |
|
126 |
82 |
$390.00 |
| 90480 |
|
314 |
200 |
$280.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,291 |
9,569 |
$82.04 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,366 |
4,131 |
$23.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
827 |
542 |
$0.00 |
| 90739 |
|
941 |
744 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,446 |
2,594 |
$0.00 |
| 90686 |
|
2,019 |
1,035 |
$0.00 |
| 90677 |
|
438 |
263 |
$0.00 |
| 0271 |
|
147 |
146 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,103 |
538 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
145 |
95 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
4,810 |
2,890 |
$0.00 |
| 90647 |
|
398 |
126 |
$0.00 |
| 90680 |
|
131 |
44 |
$0.00 |
| Z7610 |
|
132 |
128 |
$0.00 |
| 85018 |
|
68 |
45 |
$0.00 |
| 90723 |
|
331 |
104 |
$0.00 |
| 90656 |
|
682 |
305 |
$0.00 |
| 90651 |
|
109 |
66 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
22 |
13 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
14 |
$0.00 |
| 90619 |
|
67 |
39 |
$0.00 |
| Z7500 |
|
10,460 |
10,027 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
4,341 |
2,617 |
$0.00 |
| 90715 |
|
228 |
114 |
$0.00 |
| 90633 |
|
389 |
144 |
$0.00 |
| 99188 |
|
197 |
117 |
$0.00 |
| 90649 |
|
167 |
102 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
275 |
188 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
477 |
371 |
$0.00 |
| 90750 |
|
63 |
43 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
267 |
169 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
323 |
193 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
183 |
104 |
$0.00 |
| 90670 |
|
19 |
12 |
$0.00 |
| 83721 |
|
18 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
15 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90658 |
|
24 |
17 |
$0.00 |
| 90710 |
|
31 |
12 |
$0.00 |
| 91321 |
|
20 |
13 |
$0.00 |