| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
110,378 |
92,337 |
$10.57M |
| 00003 |
Internal/system code - not a standard HCPCS code |
16,404 |
14,373 |
$2.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,582 |
32,600 |
$110K |
| 98940 |
|
12,544 |
8,652 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,323 |
6,219 |
$35K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
1,494 |
1,167 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,655 |
3,988 |
$12K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,275 |
2,414 |
$9K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
148 |
93 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,807 |
1,647 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,764 |
1,580 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,596 |
4,874 |
$6K |
| 99000 |
|
5,746 |
4,884 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
836 |
764 |
$3K |
| 92551 |
|
1,673 |
1,513 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
349 |
308 |
$3K |
| 85018 |
|
1,444 |
1,331 |
$2K |
| 81005 |
|
2,768 |
1,856 |
$2K |
| 90686 |
|
798 |
749 |
$2K |
| 99215 |
Prolong outpt/office vis |
50 |
35 |
$755.04 |
| 90723 |
|
682 |
637 |
$675.02 |
| 90677 |
|
218 |
207 |
$568.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
319 |
316 |
$508.58 |
| 99381 |
|
59 |
51 |
$425.21 |
| 99384 |
|
30 |
25 |
$315.76 |
| 90670 |
|
717 |
666 |
$276.00 |
| 99173 |
|
1,627 |
1,474 |
$255.84 |
| 3074F |
|
3,453 |
3,250 |
$246.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
414 |
352 |
$226.64 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
151 |
146 |
$205.92 |
| 90633 |
|
167 |
153 |
$142.01 |
| 90680 |
|
210 |
198 |
$103.90 |
| 81003 |
|
1,547 |
1,020 |
$86.85 |
| 90648 |
|
726 |
667 |
$72.00 |
| 90710 |
|
55 |
49 |
$53.87 |
| 81025 |
|
268 |
241 |
$46.16 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
96 |
94 |
$41.35 |
| 1036F |
|
6,411 |
5,692 |
$5.35 |
| 3078F |
|
2,720 |
2,561 |
$0.00 |
| Z6400 |
|
294 |
293 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,949 |
3,706 |
$0.00 |
| 90734 |
|
78 |
72 |
$0.00 |
| 3050F |
|
220 |
181 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
62 |
62 |
$0.00 |
| 3077F |
|
477 |
436 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
425 |
425 |
$0.00 |
| 83655 |
|
113 |
106 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
475 |
434 |
$0.00 |
| 90715 |
|
71 |
65 |
$0.00 |
| Z6304 |
|
13 |
13 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
25 |
$0.00 |
| 90707 |
|
14 |
13 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 3079F |
|
1,381 |
1,306 |
$0.00 |
| 3008F |
|
7,254 |
6,399 |
$0.00 |
| 3080F |
|
166 |
150 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,094 |
3,834 |
$0.00 |
| 90696 |
|
39 |
36 |
$0.00 |
| 2001F |
|
7,256 |
6,401 |
$0.00 |
| Z1034 |
|
2,702 |
1,947 |
$0.00 |
| 1111F |
|
4,723 |
4,375 |
$0.00 |
| 90651 |
|
80 |
77 |
$0.00 |
| 3049F |
|
602 |
508 |
$0.00 |
| 3075F |
|
345 |
334 |
$0.00 |
| 3048F |
|
942 |
833 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
265 |
243 |
$0.00 |
| Z6410 |
|
43 |
43 |
$0.00 |
| 90647 |
|
61 |
57 |
$0.00 |
| Z1032 |
|
172 |
171 |
$0.00 |
| 99383 |
|
53 |
51 |
$0.00 |
| 90656 |
|
100 |
98 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
28 |
28 |
$0.00 |
| 90698 |
|
53 |
52 |
$0.00 |
| Z6406 |
|
15 |
15 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$0.00 |
| Z6204 |
|
13 |
13 |
$0.00 |
| 90744 |
|
32 |
32 |
$0.00 |