| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,205 |
6,897 |
$670K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,353 |
5,250 |
$237K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
729 |
419 |
$37K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,428 |
801 |
$20K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,144 |
623 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
724 |
388 |
$10K |
| 90837 |
Psychotherapy, 53 minutes with patient |
166 |
58 |
$6K |
| 81025 |
|
1,561 |
864 |
$5K |
| 81002 |
|
4,901 |
2,329 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
44 |
$3K |
| 99441 |
|
261 |
118 |
$1K |
| 90686 |
|
105 |
62 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
140 |
79 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
21 |
12 |
$509.23 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
14 |
$118.93 |
| 4004F |
|
2,743 |
1,453 |
$0.00 |
| 3078F |
|
6,485 |
3,353 |
$0.00 |
| 3077F |
|
572 |
317 |
$0.00 |
| 1036F |
|
7,607 |
3,920 |
$0.00 |
| 3080F |
|
727 |
399 |
$0.00 |
| 3074F |
|
8,491 |
4,387 |
$0.00 |
| 3079F |
|
1,778 |
975 |
$0.00 |
| 3075F |
|
233 |
127 |
$0.00 |