| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,021 |
13,074 |
$2.45M |
| 3078F |
|
4,559 |
4,369 |
$4K |
| 3074F |
|
4,896 |
4,682 |
$3K |
| 3079F |
|
1,412 |
1,365 |
$3K |
| 0072A |
|
42 |
42 |
$2K |
| 3077F |
|
414 |
392 |
$1K |
| 0071A |
|
30 |
30 |
$1K |
| 3075F |
|
539 |
525 |
$1K |
| 0013A |
|
14 |
14 |
$560.00 |
| 0002A |
|
13 |
13 |
$520.00 |
| 92551 |
|
219 |
211 |
$347.54 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,593 |
4,304 |
$282.57 |
| 99173 |
|
330 |
322 |
$182.11 |
| 3080F |
|
126 |
122 |
$180.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,241 |
2,176 |
$163.26 |
| 0124A |
|
16 |
16 |
$160.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
741 |
731 |
$65.68 |
| 3725F |
|
687 |
663 |
$60.00 |
| 96127 |
|
463 |
403 |
$0.00 |
| 3008F |
|
6,788 |
6,440 |
$0.00 |
| 1034F |
|
149 |
135 |
$0.00 |
| 1000F |
|
957 |
883 |
$0.00 |
| 1036F |
|
3,151 |
3,017 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
363 |
358 |
$0.00 |
| 90686 |
|
412 |
393 |
$0.00 |
| 90674 |
|
119 |
98 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
38 |
$0.00 |
| 85018 |
|
13 |
13 |
$0.00 |
| 91307 |
|
32 |
32 |
$0.00 |
| 1160F |
|
4,712 |
4,501 |
$0.00 |
| 1159F |
|
4,121 |
3,946 |
$0.00 |
| 90658 |
|
96 |
96 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
89 |
88 |
$0.00 |
| 90461 |
|
167 |
166 |
$0.00 |
| 92552 |
|
91 |
91 |
$0.00 |
| 91300 |
|
13 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
15 |
$0.00 |