| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
33,341 |
26,091 |
$7.64M |
| 00003 |
Internal/system code - not a standard HCPCS code |
16,977 |
15,351 |
$4.75M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,909 |
19,037 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,287 |
5,669 |
$64K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,672 |
1,139 |
$53K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,831 |
611 |
$52K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
902 |
853 |
$31K |
| 99215 |
Prolong outpt/office vis |
1,136 |
587 |
$26K |
| G9920 |
Screening performed and negative |
1,836 |
1,228 |
$24K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,340 |
835 |
$23K |
| 90686 |
|
1,273 |
1,233 |
$13K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
124 |
90 |
$7K |
| 99000 |
|
2,843 |
2,627 |
$6K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
610 |
506 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,078 |
1,689 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
967 |
591 |
$4K |
| 0001A |
|
55 |
55 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
964 |
590 |
$3K |
| 0002A |
|
40 |
40 |
$3K |
| 92551 |
|
3,706 |
2,435 |
$3K |
| 0012A |
|
38 |
38 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
896 |
557 |
$2K |
| 90677 |
|
22 |
14 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
31 |
$2K |
| 0011A |
|
23 |
23 |
$2K |
| H0049 |
Alcohol and/or drug screening |
103 |
91 |
$1K |
| 90688 |
|
88 |
81 |
$947.72 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
61 |
41 |
$642.78 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
12 |
$439.60 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
50 |
$378.83 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
228 |
223 |
$378.55 |
| 90649 |
|
82 |
52 |
$306.00 |
| 90734 |
|
74 |
44 |
$288.00 |
| 90670 |
|
69 |
37 |
$288.00 |
| 90633 |
|
56 |
40 |
$279.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
451 |
412 |
$276.52 |
| 85018 |
|
1,043 |
964 |
$192.33 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,063 |
1,583 |
$186.32 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
15 |
$142.08 |
| 90715 |
|
15 |
12 |
$126.27 |
| 83655 |
|
22 |
12 |
$116.93 |
| 90710 |
|
18 |
13 |
$99.00 |
| 90647 |
|
24 |
13 |
$99.00 |
| 90696 |
|
16 |
12 |
$90.00 |
| 90697 |
|
20 |
12 |
$90.00 |
| 81002 |
|
142 |
124 |
$46.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
396 |
392 |
$45.26 |
| 81025 |
|
34 |
28 |
$19.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
107 |
$17.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
195 |
184 |
$8.40 |
| 99173 |
|
1,622 |
1,619 |
$0.00 |
| Z1034 |
|
233 |
167 |
$0.00 |
| Z1032 |
|
49 |
42 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
19 |
12 |
$0.00 |