| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
67,759 |
48,394 |
$11.48M |
| 00003 |
Internal/system code - not a standard HCPCS code |
11,555 |
7,822 |
$2.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,697 |
17,607 |
$661K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
708 |
543 |
$104K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,696 |
1,614 |
$60K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
333 |
331 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
762 |
730 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$16K |
| 81000 |
|
2,092 |
2,066 |
$15K |
| 98942 |
|
182 |
128 |
$15K |
| Z7500 |
|
579 |
532 |
$13K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
348 |
233 |
$8K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
457 |
457 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$2K |
| 0011A |
|
17 |
17 |
$1K |
| 0012A |
|
15 |
15 |
$1K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
34 |
24 |
$887.51 |
| 81025 |
|
293 |
287 |
$596.40 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
84 |
84 |
$461.75 |
| 80061 |
Lipid panel |
138 |
138 |
$406.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
117 |
117 |
$368.54 |
| 99000 |
|
101 |
100 |
$366.63 |
| 3008F |
|
2,511 |
2,301 |
$334.50 |
| 99443 |
|
1,544 |
1,428 |
$279.14 |
| 88142 |
|
14 |
14 |
$180.00 |
| 99442 |
|
1,445 |
1,332 |
$136.81 |
| 3074F |
|
830 |
777 |
$46.50 |
| 80053 |
Comprehensive metabolic panel |
168 |
167 |
$46.13 |
| 1159F |
|
4,314 |
3,827 |
$46.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
14 |
$38.43 |
| 85013 |
|
188 |
185 |
$28.09 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
67 |
67 |
$25.59 |
| 90656 |
|
13 |
13 |
$23.99 |
| 3078F |
|
879 |
829 |
$23.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
66 |
66 |
$20.26 |
| 92015 |
Determination of refractive state |
133 |
132 |
$16.02 |
| 84443 |
Thyroid stimulating hormone (TSH) |
100 |
99 |
$14.76 |
| 82948 |
|
222 |
212 |
$13.14 |
| 3077F |
|
509 |
468 |
$9.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
126 |
124 |
$6.75 |
| 3075F |
|
2,047 |
1,727 |
$6.00 |
| 86592 |
|
63 |
63 |
$3.18 |
| 3079F |
|
1,202 |
1,109 |
$3.00 |
| 99448 |
|
939 |
848 |
$1.20 |
| 99441 |
|
118 |
118 |
$0.15 |
| 1160F |
|
4,554 |
3,958 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
45 |
$0.00 |
| 82652 |
|
12 |
12 |
$0.00 |
| 3080F |
|
295 |
275 |
$0.00 |
| 98943 |
|
41 |
33 |
$0.00 |
| 1126F |
|
34 |
33 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
34 |
34 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
22 |
22 |
$0.00 |