| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
47,569 |
40,949 |
$4.96M |
| 00003 |
Internal/system code - not a standard HCPCS code |
22,152 |
19,250 |
$3.72M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,749 |
14,366 |
$50K |
| 0002A |
|
224 |
224 |
$15K |
| 0001A |
|
198 |
198 |
$13K |
| 0011A |
|
173 |
173 |
$12K |
| 0012A |
|
165 |
165 |
$11K |
| G9920 |
Screening performed and negative |
1,997 |
1,951 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,667 |
2,562 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
171 |
171 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
183 |
176 |
$1K |
| 0071A |
|
13 |
13 |
$871.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
312 |
259 |
$808.66 |
| 0004A |
|
12 |
12 |
$804.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
281 |
272 |
$641.70 |
| 81025 |
|
379 |
376 |
$585.20 |
| 98940 |
|
112 |
91 |
$167.72 |
| 86703 |
|
255 |
254 |
$130.14 |
| G9919 |
Screening performed and positive and provision of recommendations |
39 |
39 |
$101.50 |
| 81002 |
|
580 |
541 |
$29.24 |
| 90651 |
|
352 |
351 |
$0.00 |
| 85018 |
|
1,049 |
1,047 |
$0.00 |
| Z6204 |
|
284 |
249 |
$0.00 |
| 90686 |
|
1,220 |
1,219 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
5,883 |
5,458 |
$0.00 |
| 92250 |
|
172 |
171 |
$0.00 |
| 90698 |
|
176 |
175 |
$0.00 |
| 90697 |
|
92 |
92 |
$0.00 |
| 90744 |
|
128 |
128 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
56 |
39 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
86 |
86 |
$0.00 |
| 92551 |
|
1,394 |
1,392 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
190 |
190 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
365 |
364 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
55 |
53 |
$0.00 |
| Z1034 |
|
59 |
41 |
$0.00 |
| 87650 |
|
61 |
61 |
$0.00 |
| 90689 |
|
172 |
172 |
$0.00 |
| 90620 |
|
66 |
66 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |
| Z6406 |
|
52 |
52 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
17 |
13 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
126 |
126 |
$0.00 |
| 99381 |
|
12 |
12 |
$0.00 |
| 96160 |
|
5,139 |
5,093 |
$0.00 |
| 99173 |
|
1,571 |
1,570 |
$0.00 |
| 90710 |
|
82 |
82 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,463 |
2,454 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
815 |
815 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
482 |
475 |
$0.00 |
| 90715 |
|
219 |
219 |
$0.00 |
| 82947 |
|
359 |
348 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
658 |
656 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 90681 |
|
117 |
116 |
$0.00 |
| Z6400 |
|
183 |
149 |
$0.00 |
| 90734 |
|
148 |
148 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
207 |
205 |
$0.00 |
| 90461 |
|
884 |
883 |
$0.00 |
| 92015 |
Determination of refractive state |
197 |
195 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
734 |
733 |
$0.00 |
| 90670 |
|
449 |
449 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
409 |
407 |
$0.00 |
| Z6308 |
|
13 |
12 |
$0.00 |
| 90633 |
|
120 |
120 |
$0.00 |
| 1159F |
|
45 |
42 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
14 |
12 |
$0.00 |
| Z6200 |
|
13 |
13 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
16 |
$0.00 |
| Z6304 |
|
27 |
26 |
$0.00 |
| Z6414 |
|
13 |
12 |
$0.00 |
| 99080 |
|
12 |
12 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |