| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
133,017 |
101,401 |
$22.29M |
| 00003 |
Internal/system code - not a standard HCPCS code |
86,097 |
69,981 |
$18.11M |
| 90834 |
Psychotherapy, 45 minutes with patient |
24,819 |
9,366 |
$497K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
82,740 |
47,424 |
$259K |
| 98940 |
|
12,682 |
5,664 |
$257K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
7,527 |
3,287 |
$153K |
| 97810 |
|
13,819 |
4,478 |
$141K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,702 |
1,084 |
$103K |
| 97811 |
|
10,385 |
3,287 |
$103K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,046 |
2,455 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,169 |
4,129 |
$84K |
| 90791 |
Psychiatric diagnostic evaluation |
1,905 |
1,069 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32,124 |
16,043 |
$57K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,447 |
620 |
$57K |
| 0004A |
|
512 |
512 |
$34K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
398 |
231 |
$28K |
| 59425 |
|
400 |
272 |
$26K |
| G9012 |
Other specified case management service not elsewhere classified |
107 |
50 |
$24K |
| 90686 |
|
1,433 |
1,186 |
$22K |
| 0124A |
|
312 |
312 |
$21K |
| 0002A |
|
270 |
270 |
$17K |
| 87428 |
|
412 |
232 |
$16K |
| 0001A |
|
227 |
227 |
$15K |
| 0054A |
|
212 |
212 |
$14K |
| 0071A |
|
201 |
201 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
435 |
256 |
$11K |
| 0072A |
|
165 |
165 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,630 |
973 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,984 |
2,778 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,975 |
1,799 |
$6K |
| 83655 |
|
693 |
405 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,250 |
1,376 |
$4K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,380 |
1,057 |
$4K |
| 90677 |
|
17 |
13 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,039 |
1,241 |
$4K |
| 92551 |
|
6,571 |
4,076 |
$3K |
| 11721 |
|
754 |
683 |
$3K |
| 0154A |
|
43 |
43 |
$3K |
| 97803 |
|
117 |
109 |
$3K |
| 0052A |
|
33 |
33 |
$2K |
| 90739 |
|
19 |
13 |
$2K |
| 99401 |
|
195 |
142 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
421 |
403 |
$2K |
| G9919 |
Screening performed and positive and provision of recommendations |
115 |
71 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
91 |
41 |
$1K |
| 90656 |
|
85 |
74 |
$1K |
| 97813 |
|
50 |
24 |
$538.20 |
| 90715 |
|
30 |
30 |
$470.91 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
53 |
$457.60 |
| 98928 |
|
19 |
13 |
$446.08 |
| 90662 |
|
34 |
33 |
$423.00 |
| 90480 |
|
12 |
12 |
$400.00 |
| 90688 |
|
15 |
15 |
$334.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
14 |
$258.84 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
76 |
54 |
$253.79 |
| 90651 |
|
18 |
17 |
$194.40 |
| 85018 |
|
2,376 |
2,284 |
$183.61 |
| 81025 |
|
86 |
65 |
$162.12 |
| 87420 |
|
71 |
40 |
$137.24 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
55 |
33 |
$137.20 |
| 11056 |
|
18 |
14 |
$131.68 |
| 90670 |
|
24 |
24 |
$108.00 |
| 80305 |
|
21 |
12 |
$100.80 |
| 99381 |
|
12 |
12 |
$90.66 |
| 81005 |
|
1,250 |
958 |
$49.28 |
| 81002 |
|
87 |
74 |
$18.49 |
| 88720 |
|
21 |
13 |
$17.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$13.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
85 |
82 |
$11.77 |
| Z6406 |
|
495 |
400 |
$0.00 |
| Z1034 |
|
2,464 |
1,693 |
$0.00 |
| Z6204 |
|
59 |
59 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
45 |
44 |
$0.00 |
| Z1038 |
|
33 |
24 |
$0.00 |
| 99173 |
|
2,748 |
2,736 |
$0.00 |
| 99442 |
|
192 |
171 |
$0.00 |
| Z6304 |
|
13 |
13 |
$0.00 |
| 92081 |
|
34 |
34 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |
| Z6400 |
|
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
41 |
$0.00 |
| G0247 |
Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails |
55 |
55 |
$0.00 |
| G9920 |
Screening performed and negative |
13 |
12 |
$0.00 |