| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
169,468 |
145,158 |
$13.55M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
97,158 |
56,113 |
$517K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45,979 |
27,467 |
$168K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25,608 |
16,125 |
$158K |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,349 |
1,349 |
$151K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15,737 |
9,606 |
$122K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20,794 |
14,472 |
$122K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,915 |
11,702 |
$103K |
| 90791 |
Psychiatric diagnostic evaluation |
1,504 |
986 |
$89K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,946 |
4,107 |
$65K |
| 92552 |
|
26,440 |
17,440 |
$60K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,263 |
1,195 |
$57K |
| A0390 |
Als mileage (per mile) |
455 |
370 |
$33K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,007 |
765 |
$31K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,352 |
1,739 |
$22K |
| 85018 |
|
42,826 |
26,553 |
$17K |
| 92551 |
|
2,432 |
2,349 |
$16K |
| 90671 |
|
3,900 |
2,503 |
$14K |
| 83655 |
|
2,639 |
1,470 |
$12K |
| 90697 |
|
6,705 |
4,381 |
$10K |
| 90651 |
|
4,122 |
2,357 |
$10K |
| 90633 |
|
9,510 |
6,058 |
$9K |
| 90680 |
|
9,742 |
6,886 |
$8K |
| 90686 |
|
16,337 |
10,873 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
558 |
425 |
$6K |
| 90656 |
|
1,600 |
1,038 |
$5K |
| 99462 |
|
694 |
497 |
$4K |
| 99173 |
|
11,549 |
9,222 |
$4K |
| 99460 |
|
352 |
274 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
388 |
208 |
$3K |
| 90716 |
|
2,110 |
1,380 |
$2K |
| 90619 |
|
1,469 |
818 |
$2K |
| 90461 |
|
8,356 |
6,254 |
$2K |
| 90700 |
|
1,481 |
907 |
$2K |
| 90710 |
|
1,578 |
973 |
$2K |
| 90715 |
|
1,080 |
684 |
$2K |
| 99381 |
|
200 |
150 |
$2K |
| 90696 |
|
1,236 |
767 |
$1K |
| 90707 |
|
1,780 |
1,153 |
$1K |
| 90620 |
|
317 |
172 |
$1K |
| 90647 |
|
6,050 |
4,566 |
$834.81 |
| 97802 |
|
20 |
20 |
$607.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
816 |
721 |
$590.56 |
| 90381 |
|
165 |
118 |
$540.03 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
143 |
85 |
$530.37 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
398 |
370 |
$413.84 |
| 81002 |
|
2,751 |
2,219 |
$409.67 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
354 |
199 |
$363.48 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
63 |
43 |
$261.94 |
| 90670 |
|
13,484 |
9,337 |
$216.00 |
| 90649 |
|
867 |
639 |
$147.00 |
| 90734 |
|
628 |
427 |
$136.95 |
| 90380 |
|
41 |
29 |
$126.00 |
| 90723 |
|
6,348 |
4,797 |
$107.30 |
| 90648 |
|
610 |
421 |
$18.00 |
| 86580 |
|
41 |
26 |
$16.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,716 |
8,417 |
$5.23 |
| 96160 |
|
1,410 |
1,008 |
$0.00 |
| 3455F |
|
22,502 |
18,251 |
$0.00 |
| 99401 |
|
4,822 |
4,751 |
$0.00 |
| 4004F |
|
354 |
353 |
$0.00 |
| 90681 |
|
280 |
223 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
84 |
47 |
$0.00 |
| 91300 |
|
174 |
121 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
16 |
13 |
$0.00 |
| 99172 |
|
10,157 |
8,170 |
$0.00 |
| 1000F |
|
13,500 |
9,793 |
$0.00 |
| 90474 |
|
40 |
40 |
$0.00 |
| 36416 |
|
266 |
245 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
155 |
154 |
$0.00 |
| 90645 |
|
24 |
24 |
$0.00 |