| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
468 |
336 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
517 |
469 |
$18K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
23 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
121 |
93 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$718.32 |
| 81002 |
|
251 |
171 |
$435.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
30 |
$419.10 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$308.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
77 |
70 |
$0.00 |
| 1036F |
|
90 |
79 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
57 |
55 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
90 |
79 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
140 |
127 |
$0.00 |
| 4004F |
|
79 |
72 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
32 |
27 |
$0.00 |