| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,225 |
11,172 |
$1.04M |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
3,091 |
3,056 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,244 |
4,107 |
$104K |
| V5140 |
Binaural, behind the ear |
89 |
88 |
$67K |
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
529 |
528 |
$65K |
| 92567 |
|
12,100 |
11,915 |
$50K |
| 92587 |
|
3,977 |
3,924 |
$43K |
| 92579 |
|
2,007 |
1,982 |
$28K |
| V5264 |
Ear mold/insert, not disposable, any type |
587 |
572 |
$16K |
| V5160 |
Dispensing fee, binaural |
93 |
92 |
$14K |
| 92523 |
|
761 |
732 |
$14K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
471 |
223 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
665 |
657 |
$9K |
| 99215 |
Prolong outpt/office vis |
193 |
188 |
$5K |
| 92650 |
|
558 |
554 |
$5K |
| V5060 |
Hearing aid, monaural, behind the ear |
12 |
12 |
$4K |
| 92557 |
|
598 |
593 |
$3K |
| V5090 |
Dispensing fee, unspecified hearing aid |
15 |
15 |
$1K |
| 97164 |
|
111 |
102 |
$924.60 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
46 |
24 |
$611.43 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
114 |
$492.64 |
| 69210 |
|
12 |
12 |
$352.82 |
| 92593 |
|
89 |
89 |
$323.25 |
| 92582 |
|
28 |
28 |
$290.65 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
106 |
62 |
$230.61 |
| 92583 |
|
13 |
13 |
$218.20 |
| 92595 |
|
59 |
58 |
$191.30 |
| 92524 |
|
12 |
12 |
$186.28 |
| 92552 |
|
26 |
26 |
$137.84 |
| V5020 |
Conformity evaluation |
52 |
52 |
$89.50 |
| 92555 |
|
17 |
17 |
$85.91 |
| 93000 |
|
34 |
34 |
$43.58 |
| V5266 |
Battery for use in hearing device |
24 |
24 |
$3.89 |
| 97803 |
|
15 |
15 |
$0.00 |