| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,489 |
3,322 |
$1.71M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
159 |
112 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
649 |
617 |
$730.89 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,393 |
1,294 |
$696.97 |
| 90630 |
|
317 |
294 |
$662.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
126 |
91 |
$497.47 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
71 |
49 |
$279.52 |
| 96417 |
|
37 |
28 |
$273.05 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
68 |
54 |
$231.84 |
| 85027 |
|
66 |
52 |
$157.85 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
513 |
480 |
$144.48 |
| 96415 |
|
20 |
15 |
$143.39 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
173 |
167 |
$64.98 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
158 |
135 |
$59.20 |
| 80076 |
|
67 |
53 |
$57.20 |
| 99215 |
Prolong outpt/office vis |
246 |
226 |
$48.55 |
| 92015 |
Determination of refractive state |
42 |
42 |
$37.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
340 |
317 |
$30.00 |
| 92002 |
|
40 |
40 |
$28.93 |
| 99201 |
|
29 |
28 |
$25.45 |
| 92134 |
|
86 |
82 |
$17.84 |
| 83615 |
|
67 |
53 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
133 |
127 |
$0.00 |
| 92083 |
|
30 |
30 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
68 |
$0.00 |
| 92133 |
|
17 |
17 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |