| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
46,243 |
34,940 |
$7.06M |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,634 |
1,302 |
$325K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,516 |
14,097 |
$163K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,748 |
11,312 |
$54K |
| 99402 |
|
912 |
903 |
$29K |
| G9012 |
Other specified case management service not elsewhere classified |
2,633 |
1,144 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
680 |
613 |
$25K |
| 0001A |
|
302 |
166 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,200 |
1,769 |
$11K |
| 99401 |
|
543 |
543 |
$10K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
786 |
786 |
$10K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
779 |
777 |
$10K |
| 0002A |
|
148 |
81 |
$6K |
| 0012A |
|
149 |
100 |
$6K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
168 |
147 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
706 |
560 |
$3K |
| 81025 |
|
1,135 |
1,015 |
$2K |
| 99000 |
|
5,170 |
4,531 |
$2K |
| G9920 |
Screening performed and negative |
1,594 |
1,427 |
$1K |
| A4267 |
Contraceptive supply, condom, male, each |
207 |
203 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
80 |
77 |
$824.50 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,132 |
949 |
$600.61 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
727 |
595 |
$230.56 |
| 90791 |
Psychiatric diagnostic evaluation |
53 |
48 |
$221.24 |
| 92551 |
|
925 |
791 |
$218.60 |
| 90832 |
Psychotherapy, 30 minutes with patient |
450 |
317 |
$200.52 |
| 90686 |
|
377 |
342 |
$189.00 |
| 85018 |
|
2,560 |
2,189 |
$151.90 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
102 |
91 |
$135.83 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
158 |
135 |
$102.90 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
361 |
303 |
$96.38 |
| 90647 |
|
340 |
294 |
$90.00 |
| 90723 |
|
368 |
308 |
$90.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
44 |
$64.42 |
| 99173 |
|
3,126 |
2,767 |
$56.64 |
| 90677 |
|
253 |
220 |
$36.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
741 |
598 |
$26.46 |
| 90688 |
|
60 |
56 |
$24.37 |
| 36415 |
Collection of venous blood by venipuncture |
2,593 |
2,333 |
$18.50 |
| 90670 |
|
237 |
202 |
$18.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,161 |
1,034 |
$17.08 |
| 81000 |
|
3,968 |
3,084 |
$12.90 |
| 80061 |
Lipid panel |
956 |
877 |
$11.54 |
| 83655 |
|
191 |
158 |
$10.63 |
| 80053 |
Comprehensive metabolic panel |
1,287 |
1,158 |
$9.19 |
| 90681 |
|
75 |
68 |
$9.00 |
| 90633 |
|
106 |
89 |
$9.00 |
| 82948 |
|
336 |
288 |
$2.71 |
| Z1034 |
|
3,352 |
2,554 |
$0.00 |
| 87807 |
|
150 |
114 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
662 |
564 |
$0.00 |
| 86803 |
|
90 |
74 |
$0.00 |
| 3008F |
|
11,249 |
9,004 |
$0.00 |
| 86592 |
|
299 |
254 |
$0.00 |
| 36416 |
|
2,119 |
1,897 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
308 |
203 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
218 |
188 |
$0.00 |
| Z6410 |
|
370 |
294 |
$0.00 |
| Z6406 |
|
125 |
103 |
$0.00 |
| 2010F |
|
51 |
43 |
$0.00 |
| 81001 |
|
271 |
242 |
$0.00 |
| D0602 |
|
60 |
58 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
92 |
$0.00 |
| D1330 |
|
72 |
71 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
396 |
361 |
$0.00 |
| Z6402 |
|
94 |
93 |
$0.00 |
| D1310 |
|
52 |
51 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
60 |
54 |
$0.00 |
| Z6204 |
|
215 |
175 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
71 |
61 |
$0.00 |
| 1000F |
|
51 |
50 |
$0.00 |
| 3044F |
|
59 |
36 |
$0.00 |
| 88174 |
|
102 |
87 |
$0.00 |
| 87625 |
|
24 |
18 |
$0.00 |
| 87340 |
|
15 |
12 |
$0.00 |
| 88720 |
|
88 |
63 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
377 |
326 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
66 |
53 |
$0.00 |
| 87480 |
|
20 |
14 |
$0.00 |
| 90651 |
|
84 |
66 |
$0.00 |
| Z1038 |
|
29 |
26 |
$0.00 |
| Z1032 |
|
67 |
63 |
$0.00 |
| 85027 |
|
35 |
29 |
$0.00 |
| 80055 |
|
17 |
12 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
12 |
12 |
$0.00 |
| 1036F |
|
19 |
17 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$0.00 |
| 3074F |
|
19 |
15 |
$0.00 |
| 99381 |
|
12 |
12 |
$0.00 |
| 86704 |
|
15 |
12 |
$0.00 |
| 99441 |
|
16 |
12 |
$0.00 |
| 96160 |
|
36 |
29 |
$0.00 |
| 3725F |
|
1,589 |
1,284 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
628 |
532 |
$0.00 |
| Z6400 |
|
1,190 |
1,112 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
328 |
244 |
$0.00 |
| 3046F |
|
215 |
106 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
265 |
225 |
$0.00 |
| 90715 |
|
33 |
29 |
$0.00 |
| Z6300 |
|
93 |
92 |
$0.00 |
| Z6200 |
|
130 |
129 |
$0.00 |
| Z6414 |
|
13 |
13 |
$0.00 |
| 80074 |
|
27 |
26 |
$0.00 |
| 86480 |
|
31 |
27 |
$0.00 |
| D9993 |
|
53 |
52 |
$0.00 |
| 86703 |
|
150 |
122 |
$0.00 |
| Z6304 |
|
45 |
43 |
$0.00 |
| 90734 |
|
36 |
27 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
30 |
$0.00 |
| 87535 |
|
20 |
12 |
$0.00 |
| D0190 |
|
13 |
13 |
$0.00 |
| 99201 |
|
50 |
49 |
$0.00 |
| 82570 |
|
13 |
13 |
$0.00 |