| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
294,735 |
251,188 |
$55.92M |
| 00003 |
Internal/system code - not a standard HCPCS code |
56,762 |
44,957 |
$14.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
115,559 |
102,531 |
$157K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,131 |
13,975 |
$73K |
| 0012A |
|
833 |
481 |
$26K |
| 0011A |
|
738 |
446 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,930 |
17,125 |
$17K |
| 0071A |
|
382 |
379 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,525 |
3,375 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
976 |
947 |
$11K |
| 0072A |
|
254 |
254 |
$10K |
| 0001A |
|
251 |
208 |
$10K |
| J3490 |
Unclassified drugs |
337 |
326 |
$5K |
| 0002A |
|
115 |
115 |
$5K |
| 0064A |
|
100 |
100 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
604 |
578 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,073 |
8,935 |
$3K |
| 0004A |
|
44 |
44 |
$2K |
| 99000 |
|
14,394 |
13,725 |
$1K |
| G9920 |
Screening performed and negative |
474 |
453 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,420 |
5,297 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,382 |
6,255 |
$1K |
| 81025 |
|
1,570 |
1,526 |
$930.15 |
| 0031A |
|
31 |
16 |
$920.00 |
| 90677 |
|
164 |
161 |
$879.57 |
| 92552 |
|
9,660 |
9,431 |
$609.40 |
| 0054A |
|
15 |
15 |
$600.00 |
| 0052A |
|
12 |
12 |
$480.00 |
| 90697 |
|
779 |
768 |
$437.34 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,548 |
4,456 |
$383.81 |
| 90670 |
|
3,868 |
3,846 |
$310.83 |
| 90651 |
|
2,190 |
2,145 |
$308.67 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,812 |
9,643 |
$284.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,528 |
2,417 |
$272.31 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,716 |
4,665 |
$241.78 |
| 57410 |
|
264 |
258 |
$222.72 |
| 99215 |
Prolong outpt/office vis |
80 |
78 |
$189.23 |
| 90686 |
|
6,133 |
6,037 |
$187.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,954 |
15,676 |
$161.98 |
| 99384 |
|
321 |
318 |
$131.56 |
| 90633 |
|
2,112 |
2,087 |
$128.11 |
| 90715 |
|
1,044 |
1,031 |
$113.41 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
554 |
541 |
$108.80 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
713 |
702 |
$102.90 |
| 83655 |
|
1,994 |
1,949 |
$98.00 |
| 85018 |
|
7,678 |
7,499 |
$88.66 |
| 86580 |
|
1,105 |
1,060 |
$56.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
723 |
710 |
$53.01 |
| 81003 |
|
2,247 |
1,952 |
$50.30 |
| 99382 |
|
209 |
209 |
$46.66 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
25 |
25 |
$46.61 |
| 99381 |
|
1,049 |
1,037 |
$45.33 |
| 90734 |
|
1,321 |
1,303 |
$36.00 |
| 90710 |
|
902 |
890 |
$30.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
618 |
589 |
$29.81 |
| 90696 |
|
732 |
723 |
$27.75 |
| 90723 |
|
2,295 |
2,285 |
$24.00 |
| 99441 |
|
993 |
970 |
$21.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
834 |
820 |
$20.97 |
| 90681 |
|
1,527 |
1,525 |
$18.00 |
| 90716 |
|
779 |
775 |
$18.00 |
| 92551 |
|
1,553 |
1,547 |
$11.13 |
| 90707 |
|
620 |
617 |
$9.00 |
| 96160 |
|
23,649 |
23,230 |
$6.42 |
| 99173 |
|
10,898 |
10,701 |
$2.54 |
| 90619 |
|
429 |
417 |
$2.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26,264 |
24,298 |
$0.92 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
172 |
168 |
$0.66 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
358 |
344 |
$0.56 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
44 |
43 |
$0.14 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
798 |
782 |
$0.12 |
| 72100 |
|
48 |
48 |
$0.00 |
| 90461 |
|
664 |
664 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
25 |
25 |
$0.00 |
| 90473 |
|
1,154 |
1,154 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
1,492 |
1,272 |
$0.00 |
| 73610 |
|
59 |
57 |
$0.00 |
| 90700 |
|
525 |
519 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
70 |
68 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
285 |
281 |
$0.00 |
| FLUVF |
|
81 |
81 |
$0.00 |
| 82948 |
|
253 |
238 |
$0.00 |
| S0613 |
Annual gynecological examination; clinical breast examination without pelvic evaluation |
738 |
695 |
$0.00 |
| 99201 |
|
205 |
205 |
$0.00 |
| 99188 |
|
94 |
94 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,732 |
1,414 |
$0.00 |
| 83037 |
|
27 |
27 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
196 |
189 |
$0.00 |
| S0610 |
Annual gynecological examination, new patient |
554 |
522 |
$0.00 |
| 86328 |
|
131 |
125 |
$0.00 |
| 73110 |
|
38 |
33 |
$0.00 |
| VFC |
|
98 |
98 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
898 |
895 |
$0.00 |
| 03 |
Instill, bupivac and meloxic |
26 |
19 |
$0.00 |
| 90713 |
|
61 |
61 |
$0.00 |
| 99442 |
|
214 |
207 |
$0.00 |
| 73562 |
|
96 |
95 |
$0.00 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
12 |
12 |
$0.00 |
| 3078F |
|
28 |
28 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
13 |
12 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
53 |
53 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
30 |
29 |
$0.00 |
| 73630 |
|
128 |
123 |
$0.00 |
| 1033F |
|
16 |
16 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
32 |
31 |
$0.00 |
| 73130 |
|
85 |
85 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
68 |
68 |
$0.00 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
26 |
26 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
29 |
25 |
$0.00 |
| 92550 |
|
14 |
14 |
$0.00 |
| Z6400 |
|
24 |
24 |
$0.00 |
| 99001 |
|
110 |
109 |
$0.00 |
| 81002 |
|
13 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,416 |
3,306 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$0.00 |
| 1220F |
|
1,214 |
1,169 |
$0.00 |
| Z1032 |
|
147 |
147 |
$0.00 |
| 3351F |
|
1,390 |
1,296 |
$0.00 |
| 90688 |
|
65 |
64 |
$0.00 |
| 90647 |
|
2,124 |
2,116 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
2,783 |
2,650 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
914 |
895 |
$0.00 |
| Z1034 |
|
1,896 |
1,380 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
111 |
110 |
$0.00 |
| 90620 |
|
368 |
367 |
$0.00 |
| 81005 |
|
12 |
12 |
$0.00 |
| 81000 |
|
352 |
349 |
$0.00 |
| D1330 |
|
477 |
472 |
$0.00 |
| 1031F |
|
1,138 |
1,092 |
$0.00 |
| A9150 |
Non-prescription drugs |
161 |
143 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
235 |
225 |
$0.00 |
| 99383 |
|
362 |
362 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
129 |
127 |
$0.00 |
| Z6410 |
|
26 |
22 |
$0.00 |
| 59430 |
|
95 |
92 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
855 |
774 |
$0.00 |
| HOSPO |
|
40 |
40 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
87 |
86 |
$0.00 |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
63 |
63 |
$0.00 |
| 1000F |
|
152 |
137 |
$0.00 |
| 99385 |
|
85 |
84 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
222 |
219 |
$0.00 |
| 20610 |
|
12 |
12 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
92 |
73 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
46 |
46 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
21 |
21 |
$0.00 |
| 1036F |
|
110 |
109 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
105 |
103 |
$0.00 |
| 90474 |
|
13 |
12 |
$0.00 |
| 3074F |
|
24 |
24 |
$0.00 |
| 90744 |
|
16 |
16 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
50 |
49 |
$0.00 |
| 90634 |
|
15 |
15 |
$0.00 |
| 36416 |
|
20 |
20 |
$0.00 |