| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
112,156 |
94,419 |
$16.48M |
| 00003 |
Internal/system code - not a standard HCPCS code |
7,688 |
5,895 |
$1.71M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,672 |
4,791 |
$39K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,167 |
777 |
$35K |
| 0064A |
|
201 |
200 |
$13K |
| 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 |
309 |
273 |
$10K |
| V2020 |
Frames, purchases |
1,339 |
1,339 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
176 |
122 |
$9K |
| 92015 |
Determination of refractive state |
6,830 |
5,230 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
733 |
733 |
$6K |
| 0012A |
|
80 |
80 |
$5K |
| 92341 |
|
456 |
456 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
152 |
111 |
$4K |
| 0134A |
|
39 |
39 |
$3K |
| 0011A |
|
36 |
36 |
$2K |
| 0124A |
|
34 |
34 |
$2K |
| 0001A |
|
25 |
25 |
$2K |
| 0002A |
|
16 |
16 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,489 |
12,370 |
$885.75 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,162 |
1,143 |
$809.25 |
| 0004A |
|
12 |
12 |
$804.00 |
| 92552 |
|
62 |
62 |
$673.95 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
480 |
439 |
$461.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,098 |
27,994 |
$417.39 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,619 |
8,742 |
$308.10 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,080 |
1,049 |
$295.80 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
800 |
775 |
$229.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
106 |
$113.12 |
| 99173 |
|
45 |
45 |
$109.12 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
157 |
$57.20 |
| 99381 |
|
45 |
42 |
$36.00 |
| 96160 |
|
12 |
12 |
$18.00 |
| Z6406 |
|
341 |
314 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
124 |
122 |
$0.00 |
| Z1038 |
|
165 |
129 |
$0.00 |
| Z1032 |
|
25 |
25 |
$0.00 |
| Z6204 |
|
157 |
144 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
40 |
40 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
118 |
116 |
$0.00 |
| Z1034 |
|
605 |
464 |
$0.00 |
| 3074F |
|
270 |
254 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 85018 |
|
13 |
13 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
121 |
113 |
$0.00 |
| 99441 |
|
16 |
15 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
89 |
85 |
$0.00 |
| Z6410 |
|
126 |
101 |
$0.00 |
| Z6402 |
|
54 |
54 |
$0.00 |
| 99443 |
|
24 |
24 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$0.00 |
| 1160F |
|
1,147 |
815 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
223 |
222 |
$0.00 |
| 81002 |
|
656 |
415 |
$0.00 |
| Z6300 |
|
72 |
72 |
$0.00 |
| 3078F |
|
228 |
217 |
$0.00 |
| 1159F |
|
1,202 |
861 |
$0.00 |
| G9920 |
Screening performed and negative |
114 |
106 |
$0.00 |
| Z6304 |
|
141 |
139 |
$0.00 |
| 99442 |
|
212 |
205 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
40 |
$0.00 |
| Z6200 |
|
180 |
154 |
$0.00 |
| Z6500 |
|
52 |
50 |
$0.00 |
| Z6400 |
|
77 |
73 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
47 |
46 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
47 |
45 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |