| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
33,403 |
30,414 |
$5.28M |
| G9012 |
Other specified case management service not elsewhere classified |
1,473 |
1,419 |
$316K |
| 00003 |
Internal/system code - not a standard HCPCS code |
340 |
258 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,277 |
9,310 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,279 |
15,067 |
$10K |
| 99215 |
Prolong outpt/office vis |
3,483 |
1,927 |
$9K |
| 99205 |
Prolong outpt/office vis |
87 |
66 |
$309.65 |
| 0011A |
|
15 |
15 |
$220.22 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
814 |
489 |
$194.64 |
| 90837 |
Psychotherapy, 53 minutes with patient |
58 |
27 |
$154.48 |
| 90662 |
|
383 |
295 |
$141.98 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
181 |
127 |
$97.25 |
| G0008 |
Administration of influenza virus vaccine |
304 |
235 |
$93.69 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
466 |
328 |
$77.86 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
128 |
121 |
$39.60 |
| 90651 |
|
125 |
85 |
$0.00 |
| 3074F |
|
954 |
851 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,276 |
1,792 |
$0.00 |
| 3079F |
|
247 |
212 |
$0.00 |
| 92551 |
|
425 |
293 |
$0.00 |
| 90688 |
|
171 |
114 |
$0.00 |
| 99384 |
|
24 |
17 |
$0.00 |
| 99383 |
|
52 |
38 |
$0.00 |
| 99381 |
|
18 |
12 |
$0.00 |
| 3075F |
|
141 |
132 |
$0.00 |
| 90686 |
|
186 |
137 |
$0.00 |
| 90744 |
|
45 |
35 |
$0.00 |
| 90674 |
|
24 |
16 |
$0.00 |
| 90716 |
|
44 |
31 |
$0.00 |
| 90656 |
|
18 |
13 |
$0.00 |
| 90698 |
|
19 |
14 |
$0.00 |
| 90620 |
|
22 |
13 |
$0.00 |
| 3078F |
|
958 |
873 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
427 |
358 |
$0.00 |
| 99173 |
|
371 |
315 |
$0.00 |
| 90682 |
|
83 |
58 |
$0.00 |
| 3077F |
|
145 |
129 |
$0.00 |
| 90633 |
|
87 |
59 |
$0.00 |
| 90670 |
|
27 |
18 |
$0.00 |
| 90734 |
|
39 |
27 |
$0.00 |
| 90713 |
|
24 |
16 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |
| 90461 |
|
13 |
12 |
$0.00 |
| 90707 |
|
25 |
18 |
$0.00 |
| 90750 |
|
15 |
12 |
$0.00 |
| 90715 |
|
20 |
14 |
$0.00 |