| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,853 |
17,822 |
$4.12M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,927 |
12,894 |
$115K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30,478 |
24,589 |
$93K |
| 81025 |
|
1,656 |
1,629 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
316 |
316 |
$370.20 |
| 99000 |
|
358 |
357 |
$197.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
81 |
81 |
$114.40 |
| 94760 |
|
2,993 |
2,746 |
$77.48 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
609 |
517 |
$16.82 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
592 |
521 |
$14.38 |
| 81000 |
|
3,129 |
2,514 |
$8.25 |
| 1159F |
|
24,787 |
19,305 |
$0.00 |
| 3015F |
|
746 |
726 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
69 |
57 |
$0.00 |
| 1160F |
|
14,341 |
11,025 |
$0.00 |
| 99173 |
|
3,284 |
3,273 |
$0.00 |
| 18 |
F18 fdg |
4,504 |
3,376 |
$0.00 |
| 3078F |
|
3,750 |
3,579 |
$0.00 |
| 92552 |
|
562 |
562 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
230 |
230 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
20 |
20 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
220 |
220 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
649 |
634 |
$0.00 |
| 90633 |
|
37 |
37 |
$0.00 |
| 90670 |
|
73 |
73 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
396 |
396 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
368 |
368 |
$0.00 |
| 3725F |
|
22 |
21 |
$0.00 |
| Z6400 |
|
98 |
80 |
$0.00 |
| 92081 |
|
266 |
266 |
$0.00 |
| 97803 |
|
232 |
212 |
$0.00 |
| 90648 |
|
96 |
96 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
61 |
61 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$0.00 |
| 99401 |
|
13 |
12 |
$0.00 |
| 3079F |
|
732 |
704 |
$0.00 |
| 3351F |
|
23,872 |
18,576 |
$0.00 |
| 3074F |
|
3,861 |
3,684 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
9,840 |
9,434 |
$0.00 |
| 1126F |
|
12,227 |
10,791 |
$0.00 |
| 2010F |
|
14,888 |
13,121 |
$0.00 |
| 1125F |
|
1,880 |
1,757 |
$0.00 |
| 85018 |
|
570 |
570 |
$0.00 |
| 2001F |
|
260 |
246 |
$0.00 |
| 3014F |
|
107 |
107 |
$0.00 |
| 3075F |
|
522 |
497 |
$0.00 |
| 90674 |
|
48 |
48 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
338 |
270 |
$0.00 |
| Z6204 |
|
17 |
16 |
$0.00 |
| 3008F |
|
405 |
405 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,121 |
832 |
$0.00 |
| 99403 |
|
123 |
103 |
$0.00 |
| Z6402 |
|
15 |
15 |
$0.00 |
| 82962 |
|
170 |
145 |
$0.00 |
| 97802 |
|
307 |
305 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
13 |
13 |
$0.00 |
| 90686 |
|
256 |
256 |
$0.00 |
| 90656 |
|
69 |
69 |
$0.00 |
| Z1034 |
|
221 |
167 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$0.00 |
| Z6410 |
|
125 |
109 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| 1170F |
|
16 |
16 |
$0.00 |
| 92250 |
|
13 |
13 |
$0.00 |
| 99385 |
|
16 |
16 |
$0.00 |
| 96151 |
|
12 |
12 |
$0.00 |