| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,821 |
7,056 |
$1.48M |
| 3008F |
|
1,722 |
1,242 |
$0.00 |
| 1125F |
|
759 |
571 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
273 |
177 |
$0.00 |
| 3351F |
|
696 |
535 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,586 |
1,853 |
$0.00 |
| 3079F |
|
540 |
406 |
$0.00 |
| 3074F |
|
1,066 |
791 |
$0.00 |
| 1000F |
|
946 |
675 |
$0.00 |
| 3075F |
|
130 |
94 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
154 |
110 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,205 |
2,936 |
$0.00 |
| 87807 |
|
17 |
16 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
61 |
53 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
71 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
12 |
$0.00 |
| 3049F |
|
32 |
26 |
$0.00 |
| 3048F |
|
140 |
98 |
$0.00 |
| 99024 |
|
17 |
13 |
$0.00 |
| 3353F |
|
33 |
25 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
112 |
58 |
$0.00 |
| 00000 |
|
15 |
12 |
$0.00 |
| 96161 |
|
12 |
12 |
$0.00 |
| 3044F |
|
175 |
133 |
$0.00 |
| 3080F |
|
48 |
31 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
490 |
346 |
$0.00 |
| 1160F |
|
1,937 |
1,339 |
$0.00 |
| 3077F |
|
38 |
24 |
$0.00 |
| 3050F |
|
39 |
29 |
$0.00 |
| 1159F |
|
1,931 |
1,335 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
355 |
264 |
$0.00 |
| 3078F |
|
719 |
531 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
172 |
124 |
$0.00 |
| 59025 |
Fetal non-stress test |
82 |
28 |
$0.00 |
| 17110 |
|
35 |
24 |
$0.00 |
| 81025 |
|
56 |
37 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34 |
28 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
49 |
37 |
$0.00 |