| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,540 |
2,189 |
$186K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,770 |
1,367 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,602 |
802 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
122 |
105 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
57 |
44 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
79 |
69 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
146 |
106 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
55 |
55 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
15 |
$572.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
54 |
$538.66 |
| 90715 |
|
23 |
16 |
$512.28 |
| 81025 |
|
108 |
105 |
$494.73 |
| 90686 |
|
55 |
46 |
$473.12 |