| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,864 |
5,089 |
$3.39M |
| 00003 |
Internal/system code - not a standard HCPCS code |
2,431 |
1,949 |
$1.66M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,073 |
3,413 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,770 |
2,096 |
$5K |
| 90678 |
|
259 |
163 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
760 |
496 |
$1K |
| 90677 |
|
43 |
26 |
$762.12 |
| 90686 |
|
159 |
118 |
$334.57 |
| 90662 |
|
231 |
154 |
$314.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
921 |
656 |
$291.10 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
45 |
31 |
$211.64 |
| 82962 |
|
573 |
449 |
$177.80 |
| 90656 |
|
65 |
58 |
$139.40 |
| 99406 |
|
40 |
22 |
$135.30 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
133 |
105 |
$14.23 |
| 3077F |
|
600 |
367 |
$0.00 |
| 1159F |
|
3,049 |
1,702 |
$0.00 |
| 3078F |
|
4,172 |
2,388 |
$0.00 |
| 1160F |
|
1,816 |
1,080 |
$0.00 |
| 3051F |
|
112 |
74 |
$0.00 |
| 3046F |
|
60 |
25 |
$0.00 |
| G8935 |
Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
71 |
71 |
$0.00 |
| 3079F |
|
902 |
534 |
$0.00 |
| 3075F |
|
1,166 |
711 |
$0.00 |
| 1125F |
|
420 |
372 |
$0.00 |
| 3049F |
|
51 |
33 |
$0.00 |
| 96380 |
|
200 |
134 |
$0.00 |
| 3074F |
|
3,503 |
2,002 |
$0.00 |
| 1126F |
|
823 |
700 |
$0.00 |
| 3048F |
|
321 |
200 |
$0.00 |
| 4086F |
|
61 |
59 |
$0.00 |
| 3044F |
|
571 |
442 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
169 |
112 |
$0.00 |
| 3080F |
|
24 |
12 |
$0.00 |
| 3052F |
|
73 |
36 |
$0.00 |