| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
43,767 |
35,639 |
$12.81M |
| T1015 |
Clinic visit/encounter, all-inclusive |
54,813 |
47,872 |
$12.72M |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,534 |
2,125 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,873 |
22,587 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,057 |
10,444 |
$23K |
| 90791 |
Psychiatric diagnostic evaluation |
1,116 |
747 |
$18K |
| 90686 |
|
1,979 |
1,332 |
$12K |
| 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 |
2,517 |
2,300 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,181 |
735 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,189 |
767 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,658 |
6,061 |
$8K |
| 90756 |
|
605 |
415 |
$7K |
| 90715 |
|
331 |
225 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
533 |
348 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
798 |
509 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
381 |
197 |
$4K |
| 90670 |
|
692 |
506 |
$4K |
| 90633 |
|
646 |
473 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,264 |
817 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,570 |
1,161 |
$3K |
| 90744 |
|
423 |
323 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,004 |
2,787 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
106 |
62 |
$3K |
| 90698 |
|
404 |
301 |
$2K |
| 90651 |
|
301 |
228 |
$2K |
| 92551 |
|
2,533 |
1,672 |
$2K |
| 90710 |
|
243 |
192 |
$2K |
| 90734 |
|
210 |
155 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
529 |
366 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
263 |
190 |
$1K |
| 83655 |
|
309 |
226 |
$1K |
| 99215 |
Prolong outpt/office vis |
420 |
266 |
$974.79 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
95 |
72 |
$620.32 |
| 90681 |
|
90 |
65 |
$531.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,438 |
1,458 |
$527.38 |
| 90700 |
|
79 |
51 |
$459.00 |
| 90661 |
|
39 |
28 |
$401.25 |
| 99201 |
|
90 |
66 |
$340.05 |
| 90647 |
|
41 |
30 |
$270.00 |
| 90696 |
|
44 |
31 |
$270.00 |
| 90716 |
|
50 |
29 |
$243.00 |
| 90707 |
|
49 |
27 |
$216.00 |
| 90688 |
|
56 |
56 |
$157.56 |
| 90619 |
|
26 |
14 |
$126.00 |
| 90685 |
|
13 |
13 |
$117.00 |
| 99205 |
Prolong outpt/office vis |
15 |
12 |
$84.68 |
| 90713 |
|
19 |
13 |
$81.00 |
| 90656 |
|
17 |
17 |
$36.00 |
| 88142 |
|
27 |
26 |
$16.00 |
| 86580 |
|
25 |
25 |
$3.36 |
| G0008 |
Administration of influenza virus vaccine |
112 |
112 |
$0.00 |