| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,095 |
19,515 |
$4.27M |
| 0001A |
|
8,123 |
6,130 |
$403K |
| 0002A |
|
5,814 |
4,363 |
$285K |
| 00003 |
Internal/system code - not a standard HCPCS code |
413 |
413 |
$96K |
| 0004A |
|
851 |
783 |
$45K |
| 0072A |
|
470 |
470 |
$28K |
| 0071A |
|
416 |
416 |
$24K |
| 0064A |
|
369 |
339 |
$20K |
| 0003A |
|
162 |
131 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,827 |
5,402 |
$4K |
| 0011A |
|
29 |
29 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
125 |
125 |
$2K |
| 0013A |
|
32 |
27 |
$2K |
| 0012A |
|
22 |
20 |
$1K |
| 0124A |
|
14 |
14 |
$938.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,316 |
3,296 |
$913.88 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,408 |
2,391 |
$824.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
470 |
459 |
$806.57 |
| G9920 |
Screening performed and negative |
4,767 |
4,201 |
$722.72 |
| 99384 |
|
660 |
650 |
$266.49 |
| 99201 |
|
360 |
358 |
$164.21 |
| D1310 |
|
18 |
17 |
$92.30 |
| 92552 |
|
417 |
403 |
$36.55 |
| 99173 |
|
4,134 |
4,069 |
$16.04 |
| 99000 |
|
2,620 |
2,484 |
$15.25 |
| 90686 |
|
39 |
38 |
$10.80 |
| 90715 |
|
741 |
737 |
$9.00 |
| 81025 |
|
19 |
19 |
$8.40 |
| 90611 |
|
216 |
216 |
$2.04 |
| 90713 |
|
47 |
47 |
$0.00 |
| 3078F |
|
4,419 |
4,273 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
121 |
121 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
214 |
210 |
$0.00 |
| 99188 |
|
26 |
26 |
$0.00 |
| 99442 |
|
96 |
88 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
2,065 |
1,747 |
$0.00 |
| 90633 |
|
72 |
72 |
$0.00 |
| 3077F |
|
440 |
417 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 90710 |
|
29 |
29 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |
| 90734 |
|
76 |
76 |
$0.00 |
| 82570 |
|
13 |
13 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
29 |
29 |
$0.00 |
| 82274 |
|
13 |
13 |
$0.00 |
| 81001 |
|
29 |
29 |
$0.00 |
| 3075F |
|
251 |
242 |
$0.00 |
| 3074F |
|
4,364 |
4,230 |
$0.00 |
| 90716 |
|
113 |
113 |
$0.00 |
| 3079F |
|
567 |
556 |
$0.00 |
| 3008F |
|
1,360 |
1,334 |
$0.00 |
| 86580 |
|
581 |
574 |
$0.00 |
| 3080F |
|
153 |
150 |
$0.00 |
| G2061 |
Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes |
56 |
55 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
177 |
171 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
214 |
210 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
113 |
110 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87 |
81 |
$0.00 |
| 99383 |
|
33 |
33 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 90651 |
|
86 |
86 |
$0.00 |
| G2062 |
Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes |
14 |
14 |
$0.00 |
| 99441 |
|
50 |
50 |
$0.00 |
| 82043 |
|
13 |
13 |
$0.00 |