| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,840 |
5,132 |
$1.24M |
| 00003 |
Internal/system code - not a standard HCPCS code |
2,504 |
1,623 |
$532K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,426 |
4,159 |
$177K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,642 |
1,860 |
$57K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
452 |
303 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
355 |
258 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
545 |
341 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
145 |
97 |
$7K |
| 99386 |
|
69 |
51 |
$5K |
| 99215 |
Prolong outpt/office vis |
37 |
21 |
$3K |
| 99385 |
|
62 |
50 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
582 |
491 |
$120.00 |
| 81002 |
|
23 |
19 |
$11.35 |
| 3077F |
|
129 |
112 |
$0.00 |
| D4341 |
|
60 |
45 |
$0.00 |
| 3078F |
|
673 |
552 |
$0.00 |
| D9430 |
|
202 |
182 |
$0.00 |
| 1159F |
|
653 |
542 |
$0.00 |
| 1160F |
|
123 |
108 |
$0.00 |
| D2999 |
|
48 |
39 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
53 |
53 |
$0.00 |
| D5140 |
|
17 |
14 |
$0.00 |
| 1036F |
|
1,091 |
874 |
$0.00 |
| 3074F |
|
761 |
637 |
$0.00 |
| 3079F |
|
221 |
198 |
$0.00 |
| 3008F |
|
1,151 |
918 |
$0.00 |
| 3080F |
|
149 |
129 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
24 |
24 |
$0.00 |
| 3075F |
|
72 |
65 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
89 |
88 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
55 |
55 |
$0.00 |
| D5899 |
|
44 |
31 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$0.00 |