| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,830 |
29,439 |
$5.39M |
| 00003 |
Internal/system code - not a standard HCPCS code |
2,607 |
2,327 |
$832K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,339 |
4,582 |
$57K |
| 90837 |
Psychotherapy, 53 minutes with patient |
481 |
282 |
$25K |
| 90832 |
Psychotherapy, 30 minutes with patient |
818 |
559 |
$22K |
| 0012A |
|
390 |
249 |
$14K |
| 0011A |
|
377 |
213 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
186 |
150 |
$13K |
| 0001A |
|
231 |
227 |
$10K |
| 0002A |
|
195 |
193 |
$9K |
| 0064A |
|
196 |
196 |
$8K |
| 0004A |
|
92 |
92 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
125 |
78 |
$2K |
| 0071A |
|
33 |
33 |
$1K |
| 0031A |
|
36 |
19 |
$1K |
| 81025 |
|
24 |
24 |
$61.60 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$25.59 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$25.36 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
163 |
163 |
$0.00 |
| 85018 |
|
161 |
161 |
$0.00 |
| 3008F |
|
1,077 |
1,053 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
29 |
$0.00 |
| 1036F |
|
203 |
203 |
$0.00 |
| 1034F |
|
12 |
12 |
$0.00 |
| 1111F |
|
14 |
13 |
$0.00 |
| 3074F |
|
31 |
31 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
28 |
28 |
$0.00 |
| 90686 |
|
55 |
55 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
41 |
$0.00 |
| 3078F |
|
52 |
52 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
116 |
113 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
171 |
168 |
$0.00 |
| 3725F |
|
243 |
243 |
$0.00 |
| 99408 |
|
101 |
101 |
$0.00 |
| 92015 |
Determination of refractive state |
159 |
159 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
31 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217 |
203 |
$0.00 |
| 92552 |
|
129 |
129 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$0.00 |
| 80061 |
Lipid panel |
30 |
30 |
$0.00 |
| 90461 |
|
15 |
15 |
$0.00 |