| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,813 |
9,474 |
$1.76M |
| 59430 |
|
195 |
144 |
$3K |
| 0503F |
|
146 |
68 |
$150.00 |
| 81025 |
|
157 |
114 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
846 |
518 |
$0.00 |
| 81002 |
|
237 |
134 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
28 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
808 |
499 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,472 |
804 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
83 |
77 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
63 |
29 |
$0.00 |
| 0502F |
|
2,131 |
717 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
336 |
178 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
28 |
$0.00 |
| 59025 |
Fetal non-stress test |
1,314 |
367 |
$0.00 |
| 90715 |
|
40 |
28 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,768 |
1,045 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,395 |
4,982 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
148 |
86 |
$0.00 |
| 90656 |
|
19 |
18 |
$0.00 |
| 90686 |
|
58 |
37 |
$0.00 |
| 0500F |
|
135 |
74 |
$0.00 |
| 99459 |
|
333 |
318 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
14 |
$0.00 |