| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
91,583 |
81,009 |
$26.32M |
| 00003 |
Internal/system code - not a standard HCPCS code |
6,782 |
6,482 |
$2.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66,122 |
58,459 |
$610K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,958 |
11,924 |
$549K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,853 |
4,830 |
$338K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,413 |
8,370 |
$274K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,577 |
4,553 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,781 |
9,281 |
$253K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,702 |
8,670 |
$242K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,720 |
4,704 |
$217K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,320 |
4,285 |
$117K |
| 92551 |
|
17,967 |
17,921 |
$104K |
| 90686 |
|
11,046 |
11,039 |
$71K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,037 |
3,018 |
$60K |
| 99205 |
Prolong outpt/office vis |
483 |
482 |
$53K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,263 |
958 |
$46K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
608 |
607 |
$37K |
| 90651 |
|
3,116 |
3,108 |
$37K |
| 99215 |
Prolong outpt/office vis |
539 |
532 |
$36K |
| 99243 |
|
537 |
536 |
$34K |
| 90670 |
|
4,151 |
4,130 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
736 |
723 |
$27K |
| 94060 |
|
628 |
612 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,213 |
6,805 |
$26K |
| 17110 |
|
197 |
186 |
$24K |
| 90648 |
|
3,458 |
3,438 |
$23K |
| 0002A |
|
424 |
216 |
$23K |
| 90633 |
|
2,607 |
2,595 |
$21K |
| 97803 |
|
202 |
200 |
$20K |
| 0001A |
|
360 |
184 |
$19K |
| 90723 |
|
2,421 |
2,406 |
$17K |
| 90734 |
|
1,678 |
1,676 |
$17K |
| 90680 |
|
1,463 |
1,447 |
$16K |
| 90710 |
|
1,229 |
1,223 |
$12K |
| 90715 |
|
1,261 |
1,258 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
332 |
330 |
$11K |
| 85018 |
|
26,466 |
26,398 |
$11K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
858 |
815 |
$11K |
| G9920 |
Screening performed and negative |
7,139 |
7,128 |
$10K |
| 0071A |
|
182 |
100 |
$10K |
| 90696 |
|
997 |
993 |
$9K |
| 0072A |
|
163 |
88 |
$9K |
| 90700 |
|
966 |
959 |
$9K |
| 90716 |
|
961 |
956 |
$9K |
| 90707 |
|
872 |
869 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
442 |
205 |
$7K |
| 99000 |
|
1,365 |
1,359 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
388 |
387 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
361 |
360 |
$5K |
| 90681 |
|
556 |
556 |
$4K |
| 99173 |
|
9,112 |
9,102 |
$4K |
| 0004A |
|
65 |
33 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$3K |
| 0054A |
|
58 |
34 |
$3K |
| 90685 |
|
518 |
517 |
$3K |
| 81002 |
|
2,170 |
2,076 |
$3K |
| 90677 |
|
325 |
324 |
$3K |
| 90697 |
|
341 |
340 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
53 |
44 |
$2K |
| 96127 |
|
305 |
305 |
$1K |
| 81025 |
|
432 |
422 |
$1K |
| 99422 |
|
47 |
45 |
$1K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
54 |
54 |
$1K |
| 90674 |
|
99 |
99 |
$985.00 |
| D1206 |
Topical application of fluoride varnish |
45 |
45 |
$981.90 |
| 99383 |
|
12 |
12 |
$712.81 |
| 99201 |
|
30 |
30 |
$492.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
272 |
256 |
$351.40 |
| 99188 |
|
16 |
16 |
$345.60 |
| 95115 |
|
50 |
26 |
$320.07 |
| 90672 |
|
61 |
61 |
$288.00 |
| 90688 |
|
15 |
15 |
$193.00 |
| 91321 |
|
13 |
13 |
$169.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$72.42 |
| 86580 |
|
13 |
13 |
$52.56 |
| 92015 |
Determination of refractive state |
577 |
576 |
$20.82 |
| G9919 |
Screening performed and positive and provision of recommendations |
182 |
182 |
$1.82 |
| 96160 |
|
102 |
102 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
213 |
212 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
29 |
28 |
$0.00 |
| 90656 |
|
318 |
318 |
$0.00 |