| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,481 |
22,946 |
$3.10M |
| G9012 |
Other specified case management service not elsewhere classified |
1,656 |
1,128 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,863 |
7,393 |
$16K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
169 |
113 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
449 |
443 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
990 |
964 |
$443.16 |
| G9920 |
Screening performed and negative |
209 |
191 |
$377.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
80 |
$337.95 |
| 92551 |
|
25 |
25 |
$252.50 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
351 |
346 |
$87.03 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
350 |
344 |
$87.03 |
| 0031A |
|
70 |
70 |
$67.00 |
| 85018 |
|
612 |
603 |
$2.07 |
| 3077F |
|
333 |
325 |
$0.00 |
| 3078F |
|
3,997 |
3,854 |
$0.00 |
| 82947 |
|
1,010 |
990 |
$0.00 |
| 99173 |
|
73 |
73 |
$0.00 |
| 1160F |
|
67 |
67 |
$0.00 |
| 91300 |
|
135 |
135 |
$0.00 |
| 92552 |
|
69 |
69 |
$0.00 |
| 99442 |
|
641 |
573 |
$0.00 |
| 80061 |
Lipid panel |
220 |
218 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
32 |
32 |
$0.00 |
| 0002A |
|
15 |
15 |
$0.00 |
| 3074F |
|
3,360 |
3,246 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
474 |
455 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,560 |
1,540 |
$0.00 |
| 99000 |
|
854 |
836 |
$0.00 |
| 1111F |
|
55 |
55 |
$0.00 |
| 90674 |
|
65 |
63 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
902 |
887 |
$0.00 |
| 3079F |
|
296 |
287 |
$0.00 |
| 3075F |
|
192 |
188 |
$0.00 |
| 90688 |
|
56 |
56 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
49 |
49 |
$0.00 |
| 91303 |
|
68 |
60 |
$0.00 |
| 90686 |
|
25 |
25 |
$0.00 |
| 99441 |
|
104 |
103 |
$0.00 |
| 3080F |
|
14 |
14 |
$0.00 |
| 0001A |
|
54 |
54 |
$0.00 |