| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,750 |
8,478 |
$255K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,815 |
5,272 |
$169K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,126 |
2,511 |
$64K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
645 |
539 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
882 |
615 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,655 |
992 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,683 |
2,838 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,240 |
731 |
$14K |
| 99442 |
|
652 |
328 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
709 |
585 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
370 |
315 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
629 |
396 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
156 |
88 |
$3K |
| 90715 |
|
460 |
396 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
533 |
305 |
$2K |
| 90686 |
|
315 |
264 |
$2K |
| 90734 |
|
966 |
824 |
$2K |
| 81025 |
|
647 |
370 |
$1K |
| 90732 |
|
26 |
21 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
89 |
78 |
$790.08 |
| 90651 |
|
49 |
39 |
$623.32 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
15 |
$467.16 |
| 81002 |
|
419 |
253 |
$341.48 |
| 81003 |
|
347 |
175 |
$263.30 |
| 87210 |
|
84 |
64 |
$215.26 |
| 90648 |
|
162 |
148 |
$120.00 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
19 |
$72.53 |
| 90723 |
|
44 |
41 |
$55.00 |
| 99429 |
|
62 |
38 |
$16.80 |
| 90670 |
|
88 |
74 |
$15.00 |
| 99173 |
|
49 |
27 |
$2.40 |
| 87428 |
|
104 |
75 |
$0.00 |
| 80305 |
|
21 |
15 |
$0.00 |