| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,968 |
14,466 |
$816K |
| 59426 |
|
302 |
299 |
$252K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,504 |
5,278 |
$43K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,429 |
1,391 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,983 |
4,698 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
845 |
836 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,373 |
1,318 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,178 |
1,135 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
359 |
354 |
$2K |
| 59430 |
|
13 |
12 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
181 |
179 |
$1K |
| 90674 |
|
88 |
83 |
$1K |
| 99215 |
Prolong outpt/office vis |
58 |
58 |
$892.82 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
115 |
115 |
$837.30 |
| 59425 |
|
52 |
44 |
$757.22 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
47 |
47 |
$378.00 |
| 81025 |
|
318 |
305 |
$225.69 |
| 90656 |
|
14 |
14 |
$67.05 |
| 90682 |
|
12 |
12 |
$35.00 |
| 99459 |
|
21 |
20 |
$28.96 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
16 |
$2.70 |
| 81002 |
|
20 |
19 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$0.00 |