| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,330 |
11,559 |
$2.02M |
| D0999 |
Unspecified diagnostic procedure, by report |
1,656 |
1,284 |
$155K |
| 0011A |
|
77 |
70 |
$3K |
| 0012A |
|
34 |
28 |
$1K |
| 0064A |
|
28 |
26 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,255 |
4,405 |
$328.42 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,582 |
1,354 |
$97.97 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
416 |
374 |
$43.55 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,168 |
1,952 |
$34.60 |
| 86703 |
|
189 |
188 |
$20.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,086 |
1,919 |
$1.00 |
| 81025 |
|
97 |
95 |
$0.00 |
| 81003 |
|
132 |
126 |
$0.00 |
| 99201 |
|
64 |
60 |
$0.00 |
| 99406 |
|
18 |
18 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
51 |
42 |
$0.00 |
| 96127 |
|
50 |
49 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
112 |
109 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
58 |
56 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
58 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
93 |
89 |
$0.00 |
| 3008F |
|
53 |
51 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$0.00 |
| 90686 |
|
44 |
44 |
$0.00 |