| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
62,118 |
50,575 |
$7.00M |
| 0521 |
|
127,201 |
40,860 |
$783K |
| 00003 |
Internal/system code - not a standard HCPCS code |
201 |
201 |
$62K |
| 0012A |
|
279 |
257 |
$11K |
| 0011A |
|
250 |
225 |
$8K |
| 0001A |
|
142 |
142 |
$6K |
| 0002A |
|
131 |
131 |
$5K |
| 0900 |
|
4,942 |
3,206 |
$3K |
| 0124A |
|
56 |
56 |
$2K |
| 80305 |
|
311 |
272 |
$2K |
| 97811 |
|
55 |
49 |
$1K |
| 97810 |
|
55 |
49 |
$1K |
| 0154A |
|
26 |
26 |
$1K |
| 0031A |
|
25 |
24 |
$863.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
121 |
121 |
$811.75 |
| 0013A |
|
16 |
16 |
$640.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
252 |
248 |
$304.64 |
| 90656 |
|
51 |
51 |
$260.00 |
| 90662 |
|
31 |
31 |
$240.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
205 |
200 |
$117.94 |
| 85018 |
|
119 |
119 |
$75.88 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
52 |
$75.76 |
| 99173 |
|
471 |
471 |
$52.96 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
24 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
16 |
13 |
$0.00 |