| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,458 |
2,361 |
$390K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,349 |
4,763 |
$224K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,110 |
821 |
$30K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
307 |
279 |
$21K |
| 59430 |
|
250 |
231 |
$18K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
327 |
283 |
$16K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
154 |
136 |
$7K |
| 76801 |
|
84 |
76 |
$4K |
| 81003 |
|
7,682 |
4,768 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$840.60 |
| 90715 |
|
46 |
44 |
$504.04 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$428.81 |
| 90686 |
|
35 |
29 |
$161.41 |
| 81025 |
|
26 |
25 |
$65.07 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
24 |
$48.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
115 |
99 |
$31.38 |
| 3078F |
|
2,602 |
1,845 |
$0.00 |
| 0502F |
|
3,832 |
2,427 |
$0.00 |
| 3293F |
|
203 |
188 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,464 |
2,331 |
$0.00 |
| 1159F |
|
667 |
491 |
$0.00 |
| 3028F |
|
3,517 |
2,355 |
$0.00 |
| 3085F |
|
72 |
63 |
$0.00 |
| 81422 |
|
14 |
14 |
$0.00 |
| 3015F |
|
136 |
126 |
$0.00 |
| 3077F |
|
65 |
49 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
36 |
31 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
111 |
98 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
26 |
25 |
$0.00 |
| 82947 |
|
21 |
12 |
$0.00 |
| 81002 |
|
45 |
37 |
$0.00 |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
14 |
14 |
$0.00 |
| 2010F |
|
4,009 |
2,676 |
$0.00 |
| 0501F |
|
2,049 |
1,297 |
$0.00 |
| 2000F |
|
4,220 |
2,839 |
$0.00 |
| 3044F |
|
337 |
304 |
$0.00 |
| 2001F |
|
1,292 |
919 |
$0.00 |
| 3008F |
|
4,136 |
2,788 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
613 |
480 |
$0.00 |
| 3292F |
|
448 |
417 |
$0.00 |
| 1034F |
|
215 |
167 |
$0.00 |
| 81000 |
|
160 |
109 |
$0.00 |
| 3075F |
|
272 |
226 |
$0.00 |
| 3294F |
|
205 |
189 |
$0.00 |
| 3074F |
|
2,983 |
2,097 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
37 |
32 |
$0.00 |
| 0503F |
|
266 |
242 |
$0.00 |
| 3353F |
|
76 |
68 |
$0.00 |
| 1125F |
|
26 |
22 |
$0.00 |
| 0500F |
|
239 |
219 |
$0.00 |
| 3351F |
|
49 |
45 |
$0.00 |
| 3352F |
|
117 |
103 |
$0.00 |
| 3079F |
|
694 |
528 |
$0.00 |
| 3080F |
|
45 |
36 |
$0.00 |
| 97802 |
|
42 |
40 |
$0.00 |
| 82950 |
|
50 |
46 |
$0.00 |
| 82962 |
|
15 |
12 |
$0.00 |
| 96127 |
|
228 |
206 |
$0.00 |