| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,413 |
16,519 |
$5.82M |
| 00003 |
Internal/system code - not a standard HCPCS code |
10,788 |
6,334 |
$3.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,512 |
7,168 |
$5K |
| 0011A |
|
67 |
67 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
113 |
109 |
$738.31 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
387 |
364 |
$221.58 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
308 |
300 |
$104.07 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
555 |
547 |
$39.00 |
| Z1034 |
|
1,165 |
739 |
$0.00 |
| Z6410 |
|
136 |
117 |
$0.00 |
| 85018 |
|
15 |
15 |
$0.00 |
| 3008F |
|
175 |
145 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
301 |
153 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
52 |
$0.00 |
| 3074F |
|
63 |
58 |
$0.00 |
| 99000 |
|
15 |
15 |
$0.00 |
| 99383 |
|
32 |
29 |
$0.00 |
| 99384 |
|
16 |
16 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
18 |
12 |
$0.00 |
| Z1032 |
|
14 |
14 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
178 |
167 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,556 |
1,478 |
$0.00 |
| 3078F |
|
48 |
43 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
105 |
101 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
67 |
66 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
91 |
44 |
$0.00 |
| D1120 |
Prophylaxis - child |
19 |
12 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |