| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
12,499 |
10,094 |
$2.21M |
| T1015 |
Clinic visit/encounter, all-inclusive |
20,071 |
15,744 |
$1.78M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,725 |
2,446 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
761 |
728 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,129 |
1,027 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,018 |
1,017 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
34 |
30 |
$728.20 |
| 90715 |
|
101 |
101 |
$322.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
870 |
863 |
$155.42 |
| 99000 |
|
915 |
897 |
$72.60 |
| 81025 |
|
22 |
21 |
$14.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
43 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
281 |
233 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
325 |
324 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
85 |
82 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
85 |
85 |
$0.00 |
| 92552 |
|
29 |
29 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
88 |
87 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
51 |
$0.00 |
| 96160 |
|
345 |
344 |
$0.00 |
| 92015 |
Determination of refractive state |
28 |
28 |
$0.00 |
| FLUVF |
|
34 |
34 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$0.00 |
| 99173 |
|
87 |
87 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
18 |
18 |
$0.00 |
| 90633 |
|
61 |
61 |
$0.00 |
| 90734 |
|
48 |
48 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
33 |
33 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
211 |
206 |
$0.00 |
| 90686 |
|
398 |
398 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
935 |
847 |
$0.00 |
| 90620 |
|
26 |
26 |
$0.00 |
| 92551 |
|
70 |
70 |
$0.00 |
| 90651 |
|
55 |
55 |
$0.00 |
| 90688 |
|
69 |
69 |
$0.00 |
| 1220F |
|
1,110 |
1,008 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 99383 |
|
27 |
27 |
$0.00 |
| D1330 |
|
42 |
42 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
73 |
73 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$0.00 |
| 85018 |
|
80 |
80 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
14 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$0.00 |