| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
55,931 |
46,984 |
$13.23M |
| 00003 |
Internal/system code - not a standard HCPCS code |
11,513 |
9,517 |
$3.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,067 |
20,851 |
$9K |
| 0012A |
|
142 |
76 |
$5K |
| 0011A |
|
112 |
66 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,051 |
4,597 |
$1K |
| 0064A |
|
32 |
30 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
435 |
433 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,915 |
1,781 |
$649.32 |
| 0071A |
|
12 |
12 |
$480.00 |
| 99000 |
|
2,278 |
2,186 |
$14.52 |
| 85018 |
|
79 |
79 |
$4.12 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,653 |
2,371 |
$0.03 |
| 90734 |
|
51 |
51 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,033 |
1,027 |
$0.00 |
| 90670 |
|
1,135 |
1,133 |
$0.00 |
| 90681 |
|
399 |
399 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,490 |
2,473 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
509 |
508 |
$0.00 |
| 99173 |
|
417 |
416 |
$0.00 |
| 90715 |
|
160 |
160 |
$0.00 |
| 90713 |
|
125 |
125 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
702 |
701 |
$0.00 |
| 90473 |
|
381 |
380 |
$0.00 |
| 90707 |
|
125 |
124 |
$0.00 |
| 92552 |
|
240 |
240 |
$0.00 |
| 96160 |
|
372 |
372 |
$0.00 |
| 90633 |
|
567 |
566 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,142 |
1,094 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
183 |
182 |
$0.00 |
| 99382 |
|
13 |
13 |
$0.00 |
| Z6200 |
|
93 |
93 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
13 |
13 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
12 |
12 |
$0.00 |
| 90700 |
|
188 |
188 |
$0.00 |
| 90750 |
|
15 |
15 |
$0.00 |
| 99442 |
|
32 |
29 |
$0.00 |
| 90648 |
|
19 |
19 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$0.00 |
| 83655 |
|
24 |
24 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
20 |
$0.00 |
| FLUVF |
|
21 |
21 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
15 |
15 |
$0.00 |
| 1031F |
|
1,774 |
1,651 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,787 |
3,763 |
$0.00 |
| 90686 |
|
1,052 |
1,052 |
$0.00 |
| 36416 |
|
26 |
26 |
$0.00 |
| 90647 |
|
758 |
757 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
47 |
46 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |
| 90723 |
|
566 |
565 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,478 |
1,428 |
$0.00 |
| 90651 |
|
235 |
235 |
$0.00 |
| 90619 |
|
90 |
89 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
129 |
126 |
$0.00 |
| 1000F |
|
598 |
521 |
$0.00 |
| 90716 |
|
134 |
133 |
$0.00 |
| 92551 |
|
228 |
228 |
$0.00 |
| D1310 |
|
19 |
19 |
$0.00 |
| 90697 |
|
80 |
78 |
$0.00 |
| 99383 |
|
88 |
88 |
$0.00 |
| 99172 |
|
67 |
67 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 1220F |
|
35 |
35 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
60 |
58 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
56 |
56 |
$0.00 |
| 90744 |
|
106 |
106 |
$0.00 |
| 4037F |
|
79 |
79 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| V5008 |
Hearing screening |
69 |
68 |
$0.00 |
| D1330 |
|
51 |
51 |
$0.00 |
| 99381 |
|
25 |
25 |
$0.00 |
| 99384 |
|
15 |
15 |
$0.00 |