| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,090 |
1,629 |
$186K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
713 |
479 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
448 |
312 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,524 |
833 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
249 |
155 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
19 |
$645.12 |
| 81025 |
|
160 |
100 |
$146.45 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
207 |
135 |
$99.30 |
| 3008F |
|
3,255 |
1,844 |
$0.00 |
| 1036F |
|
2,720 |
1,476 |
$0.00 |
| 3074F |
|
2,111 |
1,235 |
$0.00 |
| 3079F |
|
628 |
354 |
$0.00 |
| 1126F |
|
842 |
503 |
$0.00 |
| 1125F |
|
626 |
385 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
58 |
35 |
$0.00 |
| 3075F |
|
339 |
189 |
$0.00 |
| 3080F |
|
31 |
24 |
$0.00 |
| 99385 |
|
18 |
13 |
$0.00 |
| 3078F |
|
1,990 |
1,155 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
47 |
30 |
$0.00 |
| 3077F |
|
60 |
39 |
$0.00 |
| 1160F |
|
30 |
21 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
23 |
12 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
18 |
13 |
$0.00 |
| 1159F |
|
30 |
21 |
$0.00 |