| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
49,602 |
33,427 |
$9.40M |
| 0001A |
|
2,916 |
2,106 |
$143K |
| 0002A |
|
2,442 |
1,766 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,244 |
10,590 |
$102K |
| 90834 |
Psychotherapy, 45 minutes with patient |
700 |
393 |
$18K |
| 0003A |
|
198 |
177 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,503 |
1,348 |
$7K |
| 0004A |
|
91 |
91 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
48 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
326 |
172 |
$4K |
| J3490 |
Unclassified drugs |
136 |
118 |
$3K |
| 0013A |
|
47 |
46 |
$3K |
| 81025 |
|
2,001 |
1,882 |
$3K |
| A4267 |
Contraceptive supply, condom, male, each |
285 |
281 |
$2K |
| 0072A |
|
37 |
37 |
$2K |
| 0031A |
|
41 |
41 |
$880.00 |
| 0071A |
|
15 |
15 |
$735.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
595 |
582 |
$516.48 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
585 |
574 |
$493.66 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
998 |
993 |
$315.09 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,681 |
1,518 |
$230.23 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,022 |
1,014 |
$225.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
295 |
294 |
$202.58 |
| 92552 |
|
827 |
819 |
$114.51 |
| 85018 |
|
1,090 |
1,056 |
$52.35 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
78 |
78 |
$37.82 |
| 83655 |
|
389 |
387 |
$32.94 |
| 99173 |
|
847 |
840 |
$31.76 |
| 99000 |
|
2,833 |
2,356 |
$15.25 |
| 81001 |
|
4,982 |
3,528 |
$12.72 |
| 3079F |
|
29 |
29 |
$0.00 |
| 3074F |
|
6,304 |
4,642 |
$0.00 |
| 99381 |
|
292 |
292 |
$0.00 |
| Z6404 |
|
242 |
240 |
$0.00 |
| 96161 |
|
27 |
27 |
$0.00 |
| 90647 |
|
846 |
837 |
$0.00 |
| Z1034 |
|
4,140 |
2,873 |
$0.00 |
| 3008F |
|
440 |
437 |
$0.00 |
| Z1032 |
|
417 |
412 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
483 |
470 |
$0.00 |
| Z6410 |
|
2,536 |
1,639 |
$0.00 |
| 90723 |
|
635 |
630 |
$0.00 |
| 0500F |
|
401 |
399 |
$0.00 |
| 90688 |
|
1,126 |
1,117 |
$0.00 |
| 0503F |
|
171 |
163 |
$0.00 |
| Z6402 |
|
15 |
15 |
$0.00 |
| Z1038 |
|
176 |
166 |
$0.00 |
| 0501F |
|
405 |
403 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
61 |
61 |
$0.00 |
| 1111F |
|
157 |
150 |
$0.00 |
| 90716 |
|
42 |
42 |
$0.00 |
| 99441 |
|
181 |
159 |
$0.00 |
| 99443 |
|
124 |
111 |
$0.00 |
| 3080F |
|
16 |
15 |
$0.00 |
| 90680 |
|
28 |
28 |
$0.00 |
| 3075F |
|
14 |
12 |
$0.00 |
| 91303 |
|
15 |
15 |
$0.00 |
| 99385 |
|
79 |
79 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
27 |
27 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 0502F |
|
4,158 |
2,822 |
$0.00 |
| G9920 |
Screening performed and negative |
317 |
317 |
$0.00 |
| Z6202 |
|
400 |
390 |
$0.00 |
| 3078F |
|
6,218 |
4,585 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
170 |
165 |
$0.00 |
| Z6400 |
|
644 |
640 |
$0.00 |
| 90670 |
|
1,104 |
1,096 |
$0.00 |
| Z6414 |
|
524 |
345 |
$0.00 |
| 90633 |
|
301 |
300 |
$0.00 |
| Z6500 |
|
197 |
195 |
$0.00 |
| 99442 |
|
997 |
869 |
$0.00 |
| Z6308 |
|
44 |
44 |
$0.00 |
| 90681 |
|
487 |
480 |
$0.00 |
| Z6200 |
|
339 |
336 |
$0.00 |
| Z6302 |
|
241 |
239 |
$0.00 |
| 90715 |
|
213 |
212 |
$0.00 |
| 85049 |
|
15 |
15 |
$0.00 |
| 1160F |
|
157 |
150 |
$0.00 |
| Z6208 |
|
44 |
44 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
125 |
125 |
$0.00 |
| 99188 |
|
138 |
138 |
$0.00 |
| 91300 |
|
82 |
77 |
$0.00 |
| 90713 |
|
56 |
55 |
$0.00 |
| 81002 |
|
18 |
18 |
$0.00 |
| 90700 |
|
231 |
228 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
52 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| 82947 |
|
16 |
13 |
$0.00 |
| Z6300 |
|
18 |
18 |
$0.00 |