| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
89,490 |
82,469 |
$21.99M |
| 00003 |
Internal/system code - not a standard HCPCS code |
5,855 |
4,742 |
$1.91M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50,985 |
32,046 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,163 |
23,454 |
$91K |
| 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 |
7,614 |
6,912 |
$45K |
| 90686 |
|
5,704 |
3,523 |
$32K |
| 90791 |
Psychiatric diagnostic evaluation |
1,078 |
700 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,141 |
1,955 |
$26K |
| 99215 |
Prolong outpt/office vis |
1,365 |
769 |
$23K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,682 |
1,250 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,426 |
1,458 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
559 |
311 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,804 |
4,920 |
$13K |
| 90670 |
|
2,295 |
1,523 |
$13K |
| 90756 |
|
1,071 |
773 |
$10K |
| 90633 |
|
1,541 |
987 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,770 |
2,368 |
$8K |
| 90651 |
|
1,379 |
860 |
$8K |
| 90698 |
|
1,300 |
881 |
$7K |
| 90715 |
|
452 |
331 |
$7K |
| 99381 |
|
288 |
193 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,720 |
1,654 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
801 |
447 |
$6K |
| 92551 |
|
8,539 |
5,213 |
$5K |
| 90697 |
|
1,098 |
634 |
$5K |
| 83655 |
|
2,002 |
1,146 |
$5K |
| 90744 |
|
788 |
545 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
10,352 |
9,809 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,216 |
698 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
659 |
488 |
$3K |
| 90671 |
|
748 |
436 |
$3K |
| 90681 |
|
681 |
442 |
$3K |
| 90734 |
|
534 |
334 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,435 |
1,172 |
$3K |
| 90688 |
|
397 |
397 |
$2K |
| 90710 |
|
388 |
235 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
78 |
50 |
$2K |
| 90716 |
|
264 |
166 |
$2K |
| 99201 |
|
587 |
404 |
$2K |
| 90696 |
|
284 |
174 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
44 |
28 |
$981.35 |
| 90707 |
|
159 |
94 |
$891.00 |
| 90746 |
|
12 |
12 |
$838.44 |
| 90685 |
|
93 |
93 |
$837.00 |
| 86580 |
|
1,365 |
1,295 |
$836.78 |
| 90619 |
|
125 |
84 |
$756.00 |
| 0012A |
|
12 |
12 |
$480.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,677 |
1,095 |
$467.02 |
| 90661 |
|
63 |
54 |
$428.00 |
| 90656 |
|
79 |
58 |
$297.00 |
| 99382 |
|
41 |
28 |
$261.66 |
| 99383 |
|
88 |
51 |
$224.60 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
34 |
12 |
$218.79 |
| 90620 |
|
20 |
12 |
$90.00 |
| 81025 |
|
30 |
15 |
$42.00 |
| 85018 |
|
720 |
692 |
$32.00 |
| G0008 |
Administration of influenza virus vaccine |
438 |
438 |
$0.00 |
| 90677 |
|
28 |
28 |
$0.00 |