| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
55,643 |
32,284 |
$13.28M |
| 90791 |
Psychiatric diagnostic evaluation |
552 |
535 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,428 |
9,879 |
$75K |
| 59425 |
|
1,035 |
776 |
$75K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,480 |
4,453 |
$65K |
| 90832 |
Psychotherapy, 30 minutes with patient |
603 |
550 |
$38K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
723 |
607 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,959 |
6,659 |
$29K |
| 96127 |
|
4,776 |
4,449 |
$27K |
| G9012 |
Other specified case management service not elsewhere classified |
921 |
404 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
465 |
463 |
$24K |
| 90834 |
Psychotherapy, 45 minutes with patient |
234 |
229 |
$19K |
| 90746 |
|
197 |
197 |
$18K |
| 90656 |
|
2,173 |
2,173 |
$18K |
| 97802 |
|
149 |
149 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
451 |
448 |
$15K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
12 |
12 |
$11K |
| 90715 |
|
357 |
357 |
$7K |
| 99173 |
|
1,598 |
1,597 |
$6K |
| 97803 |
|
128 |
118 |
$6K |
| 11981 |
|
42 |
21 |
$6K |
| 90677 |
|
269 |
269 |
$6K |
| 0500F |
|
32 |
32 |
$5K |
| 99188 |
|
240 |
240 |
$5K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
154 |
153 |
$5K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
248 |
196 |
$5K |
| 59430 |
|
68 |
67 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
37 |
37 |
$5K |
| 81003 |
|
1,411 |
1,184 |
$3K |
| 83655 |
|
256 |
255 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
273 |
272 |
$3K |
| 58300 |
|
27 |
15 |
$3K |
| J3490 |
Unclassified drugs |
61 |
61 |
$3K |
| 99401 |
|
133 |
128 |
$3K |
| 90651 |
|
278 |
278 |
$3K |
| 90839 |
|
21 |
20 |
$2K |
| 98940 |
|
93 |
73 |
$2K |
| 80305 |
|
185 |
151 |
$2K |
| 96156 |
|
119 |
119 |
$2K |
| 92552 |
|
1,689 |
1,689 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
340 |
338 |
$1K |
| 81025 |
|
435 |
428 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
615 |
615 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
600 |
600 |
$807.66 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
45 |
$699.12 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
19 |
$496.08 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
14 |
$441.49 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
55 |
$370.47 |
| 90620 |
|
162 |
162 |
$312.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
710 |
710 |
$210.48 |
| 86580 |
|
52 |
51 |
$174.72 |
| 90785 |
|
34 |
29 |
$158.44 |
| S9452 |
Nutrition classes, non-physician provider, per session |
12 |
12 |
$150.00 |
| 99385 |
|
21 |
21 |
$136.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
196 |
174 |
$100.80 |
| 82947 |
|
19 |
18 |
$75.24 |
| 90633 |
|
290 |
290 |
$0.00 |
| 90710 |
|
68 |
68 |
$0.00 |
| 90700 |
|
60 |
60 |
$0.00 |
| 90707 |
|
17 |
17 |
$0.00 |
| 90681 |
|
20 |
20 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,199 |
5,059 |
$0.00 |
| 90698 |
|
167 |
167 |
$0.00 |
| 90619 |
|
231 |
231 |
$0.00 |
| 90744 |
|
111 |
111 |
$0.00 |
| 90696 |
|
50 |
50 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
51 |
49 |
$0.00 |
| 90716 |
|
22 |
22 |
$0.00 |
| 90686 |
|
34 |
34 |
$0.00 |