| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
69,021 |
54,135 |
$5.93M |
| 00003 |
|
17,409 |
12,267 |
$2.74M |
| 99213 |
|
24,156 |
18,815 |
$75K |
| 99212 |
|
10,374 |
8,360 |
$22K |
| 92012 |
|
3,056 |
2,886 |
$17K |
| 99202 |
|
260 |
248 |
$10K |
| V2020 |
Frames, purchases |
2,198 |
2,083 |
$10K |
| 0011A |
|
270 |
252 |
$9K |
| 99214 |
|
5,329 |
4,768 |
$9K |
| 0012A |
|
231 |
225 |
$9K |
| 92002 |
|
1,047 |
986 |
$7K |
| 0002A |
|
148 |
148 |
$6K |
| 92014 |
|
43 |
43 |
$6K |
| 0001A |
|
137 |
137 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,595 |
1,580 |
$4K |
| 0013A |
|
77 |
77 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
798 |
786 |
$1K |
| 0004A |
|
33 |
33 |
$1K |
| 99000 |
|
2,970 |
2,766 |
$699.40 |
| 87624 |
|
78 |
69 |
$627.00 |
| 0071A |
|
13 |
13 |
$520.00 |
| 92551 |
|
1,321 |
1,227 |
$438.56 |
| 99393 |
|
410 |
368 |
$408.09 |
| 87491 |
|
65 |
62 |
$392.15 |
| 87591 |
|
65 |
62 |
$390.89 |
| 99394 |
|
343 |
300 |
$287.69 |
| 81025 |
|
255 |
236 |
$164.44 |
| 92340 |
|
1,692 |
1,588 |
$142.54 |
| 88142 |
|
104 |
101 |
$109.64 |
| 85018 |
|
711 |
685 |
$90.89 |
| 87389 |
|
35 |
34 |
$88.75 |
| 99392 |
|
160 |
157 |
$81.44 |
| 90688 |
|
40 |
40 |
$66.24 |
| 59425 |
|
16 |
13 |
$59.88 |
| 80053 |
|
219 |
218 |
$59.74 |
| 99173 |
|
1,308 |
1,201 |
$34.20 |
| 85027 |
|
26 |
25 |
$31.10 |
| 84443 |
|
171 |
168 |
$29.37 |
| 82306 |
|
129 |
129 |
$24.54 |
| 80061 |
|
153 |
153 |
$22.96 |
| 90686 |
|
930 |
896 |
$17.66 |
| 81002 |
|
274 |
245 |
$12.90 |
| 83036 |
|
156 |
156 |
$8.54 |
| 87880 |
|
13 |
13 |
$7.61 |
| 86592 |
|
20 |
20 |
$6.87 |
| 81003 |
|
105 |
103 |
$3.88 |
| 86580 |
|
15 |
15 |
$3.36 |
| 3078F |
|
6,827 |
6,051 |
$0.00 |
| 3077F |
|
1,415 |
1,254 |
$0.00 |
| 99396 |
|
582 |
487 |
$0.00 |
| 90832 |
|
3,086 |
2,106 |
$0.00 |
| 99395 |
|
649 |
557 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
498 |
486 |
$0.00 |
| 90791 |
|
536 |
533 |
$0.00 |
| 90715 |
|
183 |
169 |
$0.00 |
| 96160 |
|
434 |
342 |
$0.00 |
| 90734 |
|
130 |
119 |
$0.00 |
| 90461 |
|
307 |
294 |
$0.00 |
| 90460 |
|
872 |
842 |
$0.00 |
| 98940 |
|
1,675 |
761 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
39 |
38 |
$0.00 |
| 99211 |
|
411 |
387 |
$0.00 |
| 87804 |
|
19 |
17 |
$0.00 |
| 92015 |
|
246 |
233 |
$0.00 |
| 99204 |
|
140 |
140 |
$0.00 |
| 99203 |
|
20 |
15 |
$0.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
43 |
43 |
$0.00 |
| 82570 |
|
14 |
14 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 1159F |
|
13 |
12 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
318 |
300 |
$0.00 |
| 36415 |
|
2,475 |
2,381 |
$0.00 |
| 3074F |
|
6,912 |
6,104 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
755 |
750 |
$0.00 |
| 3080F |
|
547 |
494 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,863 |
1,591 |
$0.00 |
| 98941 |
|
3,928 |
1,766 |
$0.00 |
| 3075F |
|
1,223 |
1,134 |
$0.00 |
| 96156 |
|
1,539 |
1,523 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
230 |
230 |
$0.00 |
| 99385 |
|
120 |
120 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,187 |
1,084 |
$0.00 |
| 90651 |
|
187 |
175 |
$0.00 |
| 3079F |
|
2,092 |
1,886 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
324 |
324 |
$0.00 |
| 1220F |
|
1,098 |
1,015 |
$0.00 |
| 96110 |
|
191 |
191 |
$0.00 |
| 3008F |
|
19 |
13 |
$0.00 |
| 90471 |
|
64 |
64 |
$0.00 |
| 90792 |
|
303 |
303 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
719 |
581 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
72 |
72 |
$0.00 |
| 85025 |
|
174 |
174 |
$0.00 |
| 3061F |
|
13 |
12 |
$0.00 |
| Z1034 |
|
127 |
97 |
$0.00 |
| 99441 |
|
15 |
15 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 90620 |
|
44 |
40 |
$0.00 |
| 82043 |
|
14 |
14 |
$0.00 |
| 3351F |
|
349 |
320 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| 90834 |
|
14 |
13 |
$0.00 |