| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
77,860 |
64,491 |
$17.11M |
| 00003 |
Internal/system code - not a standard HCPCS code |
41,017 |
34,028 |
$9.99M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28,096 |
18,871 |
$364K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,275 |
21,923 |
$337K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,892 |
2,880 |
$67K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,842 |
1,734 |
$42K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,402 |
1,312 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
866 |
588 |
$27K |
| 98940 |
|
4,736 |
2,904 |
$21K |
| J3490 |
Unclassified drugs |
1,072 |
966 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,333 |
859 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,904 |
1,276 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
479 |
308 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,336 |
1,624 |
$10K |
| 81025 |
|
7,303 |
5,811 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,604 |
1,085 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
492 |
327 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,029 |
1,024 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,861 |
2,400 |
$6K |
| 99385 |
|
142 |
104 |
$5K |
| 90750 |
|
141 |
115 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,193 |
2,332 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,411 |
6,755 |
$4K |
| 90671 |
|
558 |
380 |
$4K |
| 99386 |
|
68 |
52 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
354 |
259 |
$3K |
| 85018 |
|
12,794 |
9,028 |
$2K |
| 81002 |
|
8,330 |
5,407 |
$2K |
| 99384 |
|
170 |
140 |
$2K |
| 90656 |
|
650 |
452 |
$2K |
| 90651 |
|
1,150 |
822 |
$1K |
| 90686 |
|
3,022 |
2,310 |
$1K |
| 99401 |
|
161 |
154 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
112 |
67 |
$1K |
| 96156 |
|
220 |
220 |
$1K |
| 99383 |
|
198 |
174 |
$910.45 |
| 90739 |
|
20 |
13 |
$891.60 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
22 |
14 |
$882.30 |
| 90715 |
|
1,188 |
828 |
$843.20 |
| 93000 |
|
156 |
98 |
$818.52 |
| 90662 |
|
48 |
40 |
$573.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
202 |
198 |
$412.70 |
| 90716 |
|
314 |
239 |
$327.40 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
157 |
148 |
$250.87 |
| 99382 |
|
41 |
27 |
$193.35 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
113 |
60 |
$183.92 |
| 59425 |
|
967 |
607 |
$177.36 |
| 87428 |
|
90 |
60 |
$63.59 |
| 92551 |
|
4,197 |
3,153 |
$63.00 |
| 92015 |
Determination of refractive state |
4,030 |
4,028 |
$9.85 |
| 82948 |
|
1,384 |
1,019 |
$4.96 |
| Z6410 |
|
521 |
420 |
$0.00 |
| 3008F |
|
672 |
613 |
$0.00 |
| 82962 |
|
2,401 |
1,838 |
$0.00 |
| 1036F |
|
373 |
331 |
$0.00 |
| 90619 |
|
303 |
230 |
$0.00 |
| 90697 |
|
376 |
222 |
$0.00 |
| 36416 |
|
490 |
387 |
$0.00 |
| 90723 |
|
285 |
204 |
$0.00 |
| 90680 |
|
400 |
257 |
$0.00 |
| 90688 |
|
180 |
147 |
$0.00 |
| Z1034 |
|
1,547 |
1,022 |
$0.00 |
| 90647 |
|
324 |
232 |
$0.00 |
| 2010F |
|
301 |
279 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| Z6406 |
|
298 |
277 |
$0.00 |
| 90696 |
|
41 |
25 |
$0.00 |
| 92002 |
|
70 |
70 |
$0.00 |
| 90474 |
|
84 |
67 |
$0.00 |
| 2001F |
|
259 |
246 |
$0.00 |
| 90620 |
|
99 |
63 |
$0.00 |
| 4010F |
|
16 |
14 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 3074F |
|
120 |
113 |
$0.00 |
| Z1032 |
|
40 |
40 |
$0.00 |
| Z6404 |
|
75 |
67 |
$0.00 |
| 4037F |
|
29 |
29 |
$0.00 |
| 1126F |
|
115 |
106 |
$0.00 |
| Z6402 |
|
12 |
12 |
$0.00 |
| 1125F |
|
31 |
25 |
$0.00 |
| Z6400 |
|
378 |
365 |
$0.00 |
| 90461 |
|
1,261 |
1,156 |
$0.00 |
| 99173 |
|
2,805 |
2,470 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,782 |
1,885 |
$0.00 |
| Z6300 |
|
410 |
408 |
$0.00 |
| 90633 |
|
973 |
740 |
$0.00 |
| 90734 |
|
323 |
230 |
$0.00 |
| 90707 |
|
57 |
41 |
$0.00 |
| 90670 |
|
648 |
470 |
$0.00 |
| 90713 |
|
46 |
41 |
$0.00 |
| 1160F |
|
118 |
114 |
$0.00 |
| 90473 |
|
128 |
95 |
$0.00 |
| 1159F |
|
118 |
114 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
122 |
122 |
$0.00 |
| 90700 |
|
23 |
12 |
$0.00 |
| 3078F |
|
129 |
123 |
$0.00 |
| 90710 |
|
123 |
86 |
$0.00 |
| 4274F |
|
115 |
84 |
$0.00 |
| 4040F |
|
18 |
15 |
$0.00 |
| Z6302 |
|
24 |
24 |
$0.00 |