| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,325 |
14,883 |
$1.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,760 |
14,978 |
$483K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,298 |
1,009 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,736 |
1,767 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
487 |
367 |
$11K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
377 |
317 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
215 |
157 |
$7K |
| 81025 |
|
1,153 |
823 |
$3K |
| 81002 |
|
4,432 |
2,732 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
614 |
422 |
$3K |
| 99442 |
|
329 |
143 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
824 |
553 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
238 |
176 |
$2K |
| 90686 |
|
321 |
213 |
$2K |
| 88164 |
|
462 |
272 |
$2K |
| 99441 |
|
267 |
138 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
304 |
236 |
$1K |
| 90756 |
|
114 |
76 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
73 |
40 |
$986.74 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
59 |
32 |
$946.18 |
| 99443 |
|
47 |
15 |
$535.07 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
79 |
65 |
$517.79 |
| 90832 |
Psychotherapy, 30 minutes with patient |
22 |
12 |
$469.08 |
| 82962 |
|
235 |
158 |
$193.73 |
| 1036F |
|
4,872 |
2,610 |
$0.00 |
| 3079F |
|
1,868 |
1,040 |
$0.00 |
| 3074F |
|
5,850 |
3,184 |
$0.00 |
| 3044F |
|
22 |
13 |
$0.00 |
| 3080F |
|
520 |
262 |
$0.00 |
| 3075F |
|
245 |
137 |
$0.00 |
| 4004F |
|
3,803 |
2,071 |
$0.00 |
| 3078F |
|
4,465 |
2,433 |
$0.00 |
| 3077F |
|
676 |
353 |
$0.00 |
| 90715 |
|
115 |
112 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
16 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
46 |
42 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$0.00 |