| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
63,025 |
36,217 |
$14.52M |
| 00003 |
Internal/system code - not a standard HCPCS code |
9,869 |
7,046 |
$4.20M |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
15,226 |
6,438 |
$137K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45,478 |
21,591 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,811 |
14,405 |
$57K |
| 99000 |
|
29,440 |
12,556 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
433 |
409 |
$11K |
| 0001A |
|
106 |
103 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
724 |
646 |
$4K |
| 0002A |
|
71 |
71 |
$4K |
| 0071A |
|
29 |
29 |
$2K |
| 0012A |
|
26 |
26 |
$1K |
| 92552 |
|
3,400 |
3,017 |
$1K |
| 0004A |
|
22 |
22 |
$1K |
| A4267 |
Contraceptive supply, condom, male, each |
85 |
79 |
$1K |
| 0072A |
|
18 |
18 |
$1K |
| 0054A |
|
13 |
13 |
$670.00 |
| 92081 |
|
3,412 |
3,036 |
$538.33 |
| 3008F |
|
35,066 |
23,867 |
$170.00 |
| 97802 |
|
859 |
734 |
$160.45 |
| 81025 |
|
356 |
308 |
$115.92 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
95 |
78 |
$91.15 |
| 90686 |
|
88 |
74 |
$89.00 |
| D1206 |
Topical application of fluoride varnish |
172 |
135 |
$76.50 |
| 0011A |
|
19 |
18 |
$67.00 |
| 85018 |
|
511 |
452 |
$22.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
728 |
611 |
$17.39 |
| 81002 |
|
877 |
767 |
$14.62 |
| 86803 |
|
16 |
15 |
$11.31 |
| 86704 |
|
17 |
16 |
$9.64 |
| 86317 |
|
18 |
17 |
$9.44 |
| 80053 |
Comprehensive metabolic panel |
85 |
80 |
$8.27 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
540 |
443 |
$5.00 |
| 3044F |
|
90 |
79 |
$0.00 |
| 3079F |
|
494 |
412 |
$0.00 |
| 1157F |
|
1,577 |
1,373 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
354 |
313 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
4,549 |
3,991 |
$0.00 |
| 3080F |
|
368 |
284 |
$0.00 |
| 1220F |
|
1,817 |
1,590 |
$0.00 |
| D1330 |
|
53 |
42 |
$0.00 |
| D1310 |
|
53 |
42 |
$0.00 |
| 3074F |
|
211 |
172 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
175 |
138 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
84 |
71 |
$0.00 |
| D0603 |
|
49 |
37 |
$0.00 |
| 82043 |
|
14 |
14 |
$0.00 |
| 90688 |
|
14 |
13 |
$0.00 |
| 3075F |
|
116 |
96 |
$0.00 |
| 3048F |
|
14 |
13 |
$0.00 |
| 87070 |
|
12 |
12 |
$0.00 |
| 1111F |
|
110 |
94 |
$0.00 |
| 1160F |
|
2,129 |
1,834 |
$0.00 |
| 1159F |
|
2,133 |
1,837 |
$0.00 |
| 3077F |
|
756 |
601 |
$0.00 |
| 0521 |
|
325 |
232 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
524 |
455 |
$0.00 |
| 97803 |
|
489 |
342 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
301 |
259 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
21 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
176 |
155 |
$0.00 |
| 3078F |
|
134 |
101 |
$0.00 |
| 1158F |
|
40 |
38 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
82 |
49 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
108 |
55 |
$0.00 |
| 3051F |
|
14 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
13 |
$0.00 |
| 99072 |
|
60 |
51 |
$0.00 |