| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
128,164 |
112,421 |
$21.25M |
| 00003 |
Internal/system code - not a standard HCPCS code |
28,071 |
26,758 |
$6.80M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96,231 |
60,380 |
$232K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,289 |
6,685 |
$168K |
| 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 |
1,393 |
1,150 |
$133K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,760 |
1,211 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,082 |
17,354 |
$109K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28,640 |
16,727 |
$57K |
| 99215 |
Prolong outpt/office vis |
1,347 |
801 |
$52K |
| 0011A |
|
366 |
366 |
$25K |
| 0012A |
|
361 |
361 |
$24K |
| G9920 |
Screening performed and negative |
9,084 |
5,601 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,661 |
1,097 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,942 |
2,884 |
$10K |
| 0001A |
|
146 |
146 |
$10K |
| 92015 |
Determination of refractive state |
13,785 |
9,643 |
$8K |
| 0002A |
|
118 |
118 |
$8K |
| 90739 |
|
1,110 |
834 |
$8K |
| 90677 |
|
1,315 |
934 |
$6K |
| 0031A |
|
87 |
87 |
$6K |
| 90750 |
|
655 |
502 |
$5K |
| 0071A |
|
67 |
67 |
$4K |
| 92134 |
|
275 |
191 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,327 |
3,796 |
$3K |
| 81025 |
|
4,677 |
3,459 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
579 |
369 |
$2K |
| 0072A |
|
30 |
30 |
$2K |
| 90715 |
|
960 |
692 |
$2K |
| 90686 |
|
8,661 |
5,923 |
$2K |
| 92020 |
|
116 |
91 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
138 |
88 |
$2K |
| 92133 |
|
81 |
63 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,118 |
1,220 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,707 |
2,254 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,924 |
5,073 |
$1K |
| 0004A |
|
14 |
14 |
$938.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
329 |
225 |
$776.44 |
| 0124A |
|
58 |
49 |
$737.00 |
| 99383 |
|
161 |
109 |
$640.44 |
| 81003 |
|
7,613 |
4,548 |
$603.21 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
71 |
48 |
$469.46 |
| 90670 |
|
2,482 |
1,715 |
$420.00 |
| 96156 |
|
387 |
386 |
$417.30 |
| 0081A |
|
28 |
27 |
$402.00 |
| 90723 |
|
1,899 |
1,370 |
$380.00 |
| 97802 |
|
52 |
52 |
$367.24 |
| 90656 |
|
1,138 |
758 |
$360.00 |
| 90647 |
|
2,100 |
1,474 |
$230.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,777 |
1,020 |
$205.09 |
| 87428 |
|
395 |
242 |
$168.00 |
| 97803 |
|
78 |
77 |
$163.28 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,372 |
8,963 |
$162.50 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
76 |
74 |
$151.04 |
| 90662 |
|
60 |
53 |
$132.00 |
| 90633 |
|
2,002 |
1,288 |
$129.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
769 |
461 |
$103.85 |
| 99381 |
|
178 |
169 |
$99.72 |
| 99382 |
|
17 |
12 |
$88.14 |
| 85018 |
|
1,742 |
1,199 |
$83.78 |
| 99384 |
|
43 |
26 |
$72.36 |
| 82947 |
|
1,072 |
759 |
$62.00 |
| 99401 |
|
150 |
150 |
$48.28 |
| 90681 |
|
399 |
313 |
$40.00 |
| 90734 |
|
411 |
240 |
$20.00 |
| 90651 |
|
830 |
519 |
$14.00 |
| 90696 |
|
68 |
42 |
$10.00 |
| 90619 |
|
290 |
189 |
$10.00 |
| 90710 |
|
105 |
71 |
$10.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,686 |
1,299 |
$5.00 |
| Z1034 |
|
4,166 |
3,317 |
$0.00 |
| Z6204 |
|
158 |
158 |
$0.00 |
| Z1032 |
|
160 |
159 |
$0.00 |
| 82962 |
|
218 |
204 |
$0.00 |
| 92551 |
|
884 |
880 |
$0.00 |
| J3490 |
Unclassified drugs |
14 |
12 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
152 |
45 |
$0.00 |
| Z6406 |
|
204 |
204 |
$0.00 |
| 59430 |
|
66 |
61 |
$0.00 |
| Z1038 |
|
37 |
37 |
$0.00 |
| 90716 |
|
315 |
219 |
$0.00 |
| Z6404 |
|
160 |
160 |
$0.00 |
| 90480 |
|
13 |
13 |
$0.00 |
| 92227 |
|
154 |
154 |
$0.00 |
| 87807 |
|
85 |
55 |
$0.00 |
| 88720 |
|
212 |
150 |
$0.00 |
| 90461 |
|
5,351 |
4,665 |
$0.00 |
| 99173 |
|
972 |
969 |
$0.00 |
| Z6200 |
|
93 |
93 |
$0.00 |
| Z6400 |
|
225 |
225 |
$0.00 |
| Z6300 |
|
208 |
208 |
$0.00 |
| 11721 |
|
82 |
50 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
393 |
222 |
$0.00 |
| 90473 |
|
158 |
144 |
$0.00 |
| 91312 |
|
35 |
28 |
$0.00 |
| Z6302 |
|
168 |
168 |
$0.00 |
| 90707 |
|
75 |
43 |
$0.00 |
| 90700 |
|
62 |
38 |
$0.00 |
| 90713 |
|
15 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
109 |
96 |
$0.00 |
| 91308 |
|
14 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
12 |
$0.00 |