| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,949 |
20,398 |
$6.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,325 |
11,194 |
$691K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,067 |
3,692 |
$283K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,624 |
6,175 |
$261K |
| 59430 |
|
199 |
187 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
392 |
381 |
$37K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
673 |
572 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
209 |
193 |
$13K |
| 81025 |
|
910 |
873 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
199 |
184 |
$7K |
| 99385 |
|
43 |
42 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
451 |
385 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
59 |
58 |
$3K |
| 90688 |
|
113 |
112 |
$2K |
| 90686 |
|
88 |
85 |
$804.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
90 |
88 |
$554.58 |
| 90656 |
|
26 |
26 |
$260.24 |
| 81002 |
|
62 |
52 |
$206.10 |
| 96127 |
|
92 |
91 |
$54.63 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18 |
17 |
$13.03 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
47 |
43 |
$0.00 |