| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,392 |
3,839 |
$1.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,021 |
1,768 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,324 |
1,243 |
$711.79 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
428 |
359 |
$515.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34 |
30 |
$170.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
445 |
426 |
$153.72 |
| 90686 |
|
102 |
98 |
$102.30 |
| 36415 |
Collection of venous blood by venipuncture |
1,357 |
1,252 |
$29.55 |
| 81002 |
|
305 |
284 |
$0.00 |
| 81025 |
|
414 |
400 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
394 |
355 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
126 |
121 |
$0.00 |
| 90715 |
|
43 |
43 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
166 |
160 |
$0.00 |
| 96381 |
|
12 |
12 |
$0.00 |
| 82947 |
|
47 |
46 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
309 |
298 |
$0.00 |
| 99173 |
|
28 |
27 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
26 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
83 |
80 |
$0.00 |
| 1159F |
|
120 |
115 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 87210 |
|
15 |
13 |
$0.00 |
| 36416 |
|
279 |
265 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
198 |
183 |
$0.00 |
| 1125F |
|
102 |
100 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
284 |
271 |
$0.00 |
| 90651 |
|
112 |
106 |
$0.00 |
| 1220F |
|
655 |
590 |
$0.00 |
| 90656 |
|
103 |
100 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
28 |
$0.00 |
| 87808 |
|
14 |
13 |
$0.00 |
| 1036F |
|
404 |
367 |
$0.00 |
| 1126F |
|
34 |
33 |
$0.00 |