| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,047 |
13,453 |
$1.54M |
| 0510 |
|
1,676 |
1,674 |
$49K |
| 92552 |
|
1,248 |
1,220 |
$15K |
| 90686 |
|
523 |
513 |
$5K |
| 90734 |
|
94 |
94 |
$298.89 |
| 85018 |
|
234 |
228 |
$295.29 |
| 90651 |
|
63 |
63 |
$143.91 |
| 90716 |
|
29 |
29 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,298 |
2,266 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,264 |
1,174 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,763 |
5,783 |
$0.00 |
| 3079F |
|
306 |
300 |
$0.00 |
| 99384 |
|
609 |
605 |
$0.00 |
| 99385 |
|
356 |
356 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
273 |
273 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 3074F |
|
2,144 |
1,986 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
369 |
367 |
$0.00 |
| 3008F |
|
19 |
19 |
$0.00 |
| 96127 |
|
66 |
65 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
668 |
668 |
$0.00 |
| Z7500 |
|
1,585 |
1,549 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
501 |
463 |
$0.00 |
| 3078F |
|
1,914 |
1,782 |
$0.00 |
| 90715 |
|
38 |
38 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
137 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
388 |
380 |
$0.00 |
| 99173 |
|
495 |
494 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
344 |
330 |
$0.00 |
| 1159F |
|
17 |
17 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
244 |
243 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
273 |
273 |
$0.00 |
| 86480 |
|
15 |
15 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
44 |
44 |
$0.00 |
| 1160F |
|
17 |
17 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 81025 |
|
30 |
30 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 99201 |
|
16 |
16 |
$0.00 |