| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
209,215 |
186,433 |
$36.57M |
| 00003 |
Internal/system code - not a standard HCPCS code |
18,405 |
16,113 |
$4.17M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103,393 |
94,299 |
$412K |
| 90834 |
Psychotherapy, 45 minutes with patient |
10,956 |
6,843 |
$324K |
| 0001A |
|
5,745 |
4,250 |
$277K |
| 0002A |
|
5,067 |
3,652 |
$246K |
| 90791 |
Psychiatric diagnostic evaluation |
3,148 |
2,059 |
$134K |
| G9012 |
Other specified case management service not elsewhere classified |
3,657 |
2,453 |
$105K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,422 |
3,525 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,851 |
5,248 |
$46K |
| 0004A |
|
626 |
573 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,048 |
10,500 |
$32K |
| 0064A |
|
289 |
251 |
$17K |
| 90837 |
Psychotherapy, 53 minutes with patient |
281 |
232 |
$14K |
| 0072A |
|
157 |
157 |
$9K |
| 99215 |
Prolong outpt/office vis |
155 |
144 |
$8K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
196 |
130 |
$7K |
| 0003A |
|
109 |
94 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
26,314 |
17,890 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
18,304 |
17,928 |
$5K |
| 0071A |
|
64 |
64 |
$4K |
| G9920 |
Screening performed and negative |
4,473 |
4,269 |
$4K |
| 99205 |
Prolong outpt/office vis |
128 |
109 |
$3K |
| 0013A |
|
49 |
38 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
156 |
156 |
$2K |
| 0011A |
|
29 |
29 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
416 |
413 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
290 |
290 |
$1K |
| D4341 |
|
442 |
319 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
69 |
37 |
$886.52 |
| 80053 |
Comprehensive metabolic panel |
28,253 |
27,792 |
$802.98 |
| 81025 |
|
836 |
821 |
$571.20 |
| D0210 |
Intraoral - complete series of radiographic images |
314 |
250 |
$438.00 |
| 0031A |
|
293 |
292 |
$374.00 |
| D1310 |
|
1,824 |
1,410 |
$368.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
166 |
131 |
$366.00 |
| D0120 |
Periodic oral evaluation - established patient |
295 |
265 |
$315.00 |
| D0220 |
Intraoral - periapical first radiographic image |
552 |
470 |
$237.00 |
| D1320 |
|
151 |
124 |
$217.50 |
| 80061 |
Lipid panel |
11,616 |
11,443 |
$210.72 |
| 92551 |
|
12 |
12 |
$121.20 |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,108 |
332 |
$105.00 |
| 92552 |
|
639 |
629 |
$70.72 |
| 87529 |
|
248 |
246 |
$61.46 |
| D1110 |
Prophylaxis - adult |
16 |
13 |
$55.00 |
| D0274 |
Bitewings - four radiographic images |
81 |
76 |
$43.20 |
| J1380 |
Injection, estradiol valerate, up to 10 mg |
3,510 |
3,004 |
$22.85 |
| D9430 |
|
15 |
13 |
$22.00 |
| 99188 |
|
291 |
290 |
$18.00 |
| 85018 |
|
4,136 |
4,088 |
$17.27 |
| D0603 |
|
725 |
613 |
$15.00 |
| D0602 |
|
70 |
67 |
$15.00 |
| 99173 |
|
1,708 |
1,697 |
$11.32 |
| 82947 |
|
4,978 |
4,908 |
$10.56 |
| 99441 |
|
301 |
294 |
$10.16 |
| 90611 |
|
356 |
344 |
$1.66 |
| 3074F |
|
61,084 |
57,782 |
$0.02 |
| 3078F |
|
64,405 |
61,014 |
$0.02 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
1,185 |
1,128 |
$0.00 |
| 90686 |
|
912 |
910 |
$0.00 |
| Z1034 |
|
1,374 |
1,020 |
$0.00 |
| 3079F |
|
7,018 |
6,820 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,510 |
2,186 |
$0.00 |
| 81001 |
|
2,513 |
2,093 |
$0.00 |
| 3080F |
|
471 |
463 |
$0.00 |
| 3008F |
|
3,099 |
2,972 |
$0.00 |
| 99384 |
|
25 |
25 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
7,770 |
7,705 |
$0.00 |
| D1330 |
|
1,606 |
1,332 |
$0.00 |
| 99000 |
|
4,806 |
4,597 |
$0.00 |
| 3075F |
|
5,040 |
4,914 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
996 |
990 |
$0.00 |
| Z6410 |
|
1,542 |
847 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 82270 |
|
127 |
125 |
$0.00 |
| 90688 |
|
894 |
892 |
$0.00 |
| 0501F |
|
191 |
187 |
$0.00 |
| Z1032 |
|
149 |
143 |
$0.00 |
| Z6404 |
|
133 |
133 |
$0.00 |
| 90674 |
|
69 |
69 |
$0.00 |
| 91303 |
|
297 |
261 |
$0.00 |
| 1111F |
|
181 |
170 |
$0.00 |
| 82043 |
|
86 |
86 |
$0.00 |
| 90651 |
|
77 |
77 |
$0.00 |
| 90656 |
|
98 |
98 |
$0.00 |
| 92250 |
|
53 |
53 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 1MOFU |
|
17 |
17 |
$0.00 |
| 99406 |
|
12 |
12 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
48 |
48 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
48 |
48 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
31 |
27 |
$0.00 |
| 86580 |
|
30 |
26 |
$0.00 |
| 91306 |
|
13 |
13 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 93000 |
|
13 |
13 |
$0.00 |
| 82105 |
|
12 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
266 |
265 |
$0.00 |
| Z6200 |
|
68 |
68 |
$0.00 |
| 3077F |
|
3,108 |
3,021 |
$0.00 |
| 1160F |
|
3,003 |
2,786 |
$0.00 |
| 99442 |
|
3,533 |
3,249 |
$0.00 |
| 0502F |
|
1,361 |
1,008 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,787 |
3,706 |
$0.00 |
| 91300 |
|
538 |
526 |
$0.00 |
| Z6302 |
|
134 |
133 |
$0.00 |
| 82274 |
|
301 |
300 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
499 |
497 |
$0.00 |
| 1159F |
|
2,730 |
2,579 |
$0.00 |
| Z6400 |
|
155 |
155 |
$0.00 |
| 90746 |
|
98 |
93 |
$0.00 |
| Z6500 |
|
74 |
74 |
$0.00 |
| 90715 |
|
220 |
220 |
$0.00 |
| 85049 |
|
182 |
179 |
$0.00 |
| 99201 |
|
15 |
15 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
166 |
160 |
$0.00 |
| 82570 |
|
86 |
86 |
$0.00 |
| Z6202 |
|
166 |
166 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
57 |
$0.00 |
| 90707 |
|
37 |
37 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
275 |
266 |
$0.00 |
| Z6414 |
|
187 |
80 |
$0.00 |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
56 |
56 |
$0.00 |
| D9993 |
|
29 |
26 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
114 |
114 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
26 |
21 |
$0.00 |
| G0403 |
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report |
13 |
13 |
$0.00 |
| S5000 |
Prescription drug, generic |
26 |
26 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| D4910 |
|
44 |
39 |
$0.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |