| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
49,996 |
35,637 |
$13.22M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
854 |
614 |
$44.52 |
| 90670 |
|
1,390 |
1,254 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,959 |
1,702 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,553 |
1,417 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,641 |
2,190 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,614 |
1,012 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,968 |
2,186 |
$0.00 |
| 99173 |
|
783 |
737 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,497 |
1,360 |
$0.00 |
| 81025 |
|
282 |
219 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
712 |
665 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,159 |
2,539 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
317 |
267 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
495 |
412 |
$0.00 |
| 90633 |
|
550 |
499 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
477 |
441 |
$0.00 |
| 81003 |
|
449 |
389 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
43 |
$0.00 |
| 98929 |
|
64 |
42 |
$0.00 |
| 4274F |
|
69 |
65 |
$0.00 |
| 90671 |
|
82 |
81 |
$0.00 |
| 4040F |
|
77 |
73 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
215 |
210 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
177 |
146 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
59 |
31 |
$0.00 |
| 3078F |
|
356 |
324 |
$0.00 |
| 90707 |
|
52 |
40 |
$0.00 |
| 90461 |
|
15 |
15 |
$0.00 |
| 90700 |
|
18 |
18 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35 |
35 |
$0.00 |
| 90710 |
|
32 |
25 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,943 |
13,152 |
$0.00 |
| 99381 |
|
203 |
164 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,397 |
3,793 |
$0.00 |
| 87428 |
|
309 |
294 |
$0.00 |
| 90474 |
|
1,393 |
1,173 |
$0.00 |
| 90686 |
|
836 |
728 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
967 |
893 |
$0.00 |
| 90647 |
|
897 |
786 |
$0.00 |
| 92551 |
|
422 |
398 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,398 |
10,444 |
$0.00 |
| 90723 |
|
909 |
813 |
$0.00 |
| 90656 |
|
87 |
86 |
$0.00 |
| 59430 |
|
15 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
452 |
343 |
$0.00 |
| 1111F |
|
3,365 |
3,092 |
$0.00 |
| 90697 |
|
138 |
135 |
$0.00 |
| 90680 |
|
1,065 |
968 |
$0.00 |
| 4010F |
|
12 |
12 |
$0.00 |
| 3074F |
|
453 |
412 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
385 |
306 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 87807 |
|
31 |
27 |
$0.00 |
| 90688 |
|
15 |
13 |
$0.00 |
| 3075F |
|
59 |
59 |
$0.00 |
| 88720 |
|
64 |
57 |
$0.00 |
| 3072F |
|
13 |
13 |
$0.00 |
| 90716 |
|
39 |
28 |
$0.00 |
| 96127 |
|
14 |
12 |
$0.00 |
| 4037F |
|
52 |
52 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |
| 3079F |
|
149 |
144 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
23 |
12 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
17 |
13 |
$0.00 |