| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,413 |
24,171 |
$6.84M |
| 59410 |
|
12 |
12 |
$14K |
| 59025 |
Fetal non-stress test |
92 |
87 |
$1K |
| 99221 |
|
12 |
12 |
$780.60 |
| 99218 |
|
13 |
13 |
$657.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
552 |
549 |
$523.45 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,382 |
7,322 |
$264.00 |
| 81002 |
|
5,105 |
4,309 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
195 |
194 |
$0.00 |
| 81025 |
|
2,500 |
2,414 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,975 |
2,575 |
$0.00 |
| 81260 |
|
405 |
405 |
$0.00 |
| 86703 |
|
1,100 |
1,094 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
257 |
256 |
$0.00 |
| 86900 |
|
13 |
13 |
$0.00 |
| T1001 |
Nursing assessment / evaluation |
32 |
31 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
456 |
432 |
$0.00 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
26 |
26 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
119 |
117 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,546 |
2,421 |
$0.00 |
| 96127 |
|
1,656 |
1,588 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,143 |
1,090 |
$0.00 |
| 81242 |
|
583 |
581 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
513 |
483 |
$0.00 |
| 82950 |
|
28 |
28 |
$0.00 |
| 86850 |
|
13 |
13 |
$0.00 |
| 99024 |
|
15 |
12 |
$0.00 |
| 0500F |
|
14 |
13 |
$0.00 |
| 81209 |
|
12 |
12 |
$0.00 |