| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
50,504 |
42,723 |
$7.69M |
| 00003 |
Internal/system code - not a standard HCPCS code |
23,858 |
15,438 |
$4.99M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,395 |
12,518 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,733 |
8,989 |
$13K |
| 0002A |
|
102 |
102 |
$7K |
| G9920 |
Screening performed and negative |
2,437 |
2,422 |
$4K |
| 0001A |
|
61 |
61 |
$4K |
| 1159F |
|
5,099 |
4,635 |
$4K |
| 0012A |
|
49 |
49 |
$3K |
| 0011A |
|
48 |
48 |
$3K |
| 98940 |
|
1,331 |
1,079 |
$3K |
| 0004A |
|
30 |
30 |
$2K |
| 0071A |
|
28 |
28 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
170 |
170 |
$2K |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
7,293 |
6,811 |
$2K |
| 0064A |
|
22 |
22 |
$1K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
212 |
146 |
$1K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
787 |
651 |
$1K |
| 3074F |
|
1,277 |
1,201 |
$1K |
| 0072A |
|
14 |
14 |
$938.00 |
| 81002 |
|
1,487 |
1,261 |
$503.98 |
| 81025 |
|
366 |
358 |
$426.37 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
144 |
143 |
$407.10 |
| 0502F |
|
91 |
68 |
$290.60 |
| 96160 |
|
6,019 |
5,958 |
$273.06 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,888 |
1,797 |
$232.00 |
| 99201 |
|
69 |
69 |
$121.77 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$119.80 |
| 86703 |
|
191 |
187 |
$73.55 |
| 92015 |
Determination of refractive state |
151 |
150 |
$55.00 |
| 90686 |
|
1,082 |
1,082 |
$45.00 |
| 82947 |
|
579 |
568 |
$15.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
573 |
568 |
$0.00 |
| 3079F |
|
364 |
352 |
$0.00 |
| 85018 |
|
416 |
412 |
$0.00 |
| 0501F |
|
17 |
14 |
$0.00 |
| 92551 |
|
194 |
193 |
$0.00 |
| Z6402 |
|
92 |
89 |
$0.00 |
| Z6410 |
|
409 |
387 |
$0.00 |
| 90744 |
|
15 |
15 |
$0.00 |
| Z1034 |
|
271 |
210 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
97 |
96 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
166 |
161 |
$0.00 |
| 90651 |
|
63 |
62 |
$0.00 |
| 1123F |
|
54 |
54 |
$0.00 |
| 3075F |
|
143 |
136 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
43 |
43 |
$0.00 |
| 92250 |
|
52 |
52 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
44 |
42 |
$0.00 |
| Z6406 |
|
52 |
52 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
116 |
99 |
$0.00 |
| 3080F |
|
42 |
41 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| Z1032 |
|
12 |
12 |
$0.00 |
| 90698 |
|
16 |
16 |
$0.00 |
| 99383 |
|
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
116 |
112 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
30 |
29 |
$0.00 |
| 3078F |
|
1,047 |
985 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,726 |
1,720 |
$0.00 |
| 90461 |
|
399 |
397 |
$0.00 |
| Z6400 |
|
795 |
699 |
$0.00 |
| M1016 |
Female patients unable to bear children |
70 |
61 |
$0.00 |
| 1158F |
|
54 |
54 |
$0.00 |
| 3077F |
|
87 |
82 |
$0.00 |
| 99173 |
|
255 |
253 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
67 |
67 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
154 |
154 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$0.00 |
| 90633 |
|
43 |
43 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
132 |
132 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
207 |
207 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
107 |
106 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
325 |
255 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
112 |
112 |
$0.00 |
| 90715 |
|
127 |
127 |
$0.00 |
| 90670 |
|
17 |
17 |
$0.00 |
| 99188 |
|
21 |
21 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
67 |
57 |
$0.00 |
| 59425 |
|
20 |
16 |
$0.00 |
| 90734 |
|
43 |
43 |
$0.00 |