| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
56,344 |
37,776 |
$11.28M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,073 |
2,931 |
$48K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,232 |
1,414 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,272 |
1,225 |
$11K |
| G9920 |
Screening performed and negative |
454 |
451 |
$3K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
17 |
14 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
135 |
$664.03 |
| 57454 |
|
17 |
12 |
$509.88 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
343 |
276 |
$312.86 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
24 |
21 |
$299.79 |
| 90715 |
|
160 |
159 |
$109.78 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
215 |
209 |
$49.50 |
| 81025 |
|
40 |
40 |
$39.20 |
| 59025 |
Fetal non-stress test |
726 |
322 |
$22.80 |
| 85018 |
|
337 |
329 |
$19.93 |
| 90686 |
|
143 |
142 |
$15.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
283 |
282 |
$13.38 |
| 99000 |
|
336 |
333 |
$7.26 |
| 81002 |
|
88 |
77 |
$4.30 |
| Z6200 |
|
274 |
273 |
$0.00 |
| 3078F |
|
6,409 |
5,689 |
$0.00 |
| Z6400 |
|
2,181 |
1,805 |
$0.00 |
| 1160F |
|
914 |
822 |
$0.00 |
| 1159F |
|
914 |
822 |
$0.00 |
| Z6414 |
|
152 |
127 |
$0.00 |
| Z6300 |
|
287 |
286 |
$0.00 |
| Z6304 |
|
130 |
102 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
27 |
$0.00 |
| Z6308 |
|
36 |
26 |
$0.00 |
| Z6302 |
|
14 |
14 |
$0.00 |
| Z1034 |
|
11,018 |
8,614 |
$0.00 |
| 3079F |
|
1,358 |
1,271 |
$0.00 |
| Z6406 |
|
638 |
502 |
$0.00 |
| 3008F |
|
684 |
568 |
$0.00 |
| Z6410 |
|
4,082 |
3,341 |
$0.00 |
| Z6204 |
|
795 |
720 |
$0.00 |
| 3074F |
|
7,526 |
6,617 |
$0.00 |
| 1126F |
|
1,019 |
978 |
$0.00 |
| Z1032 |
|
935 |
934 |
$0.00 |
| 3075F |
|
25 |
25 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
141 |
137 |
$0.00 |
| Z1038 |
|
195 |
195 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |