| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
138,694 |
82,621 |
$8.48M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
88,697 |
56,830 |
$822.73 |
| 81002 |
|
95,022 |
60,900 |
$8.78 |
| 99385 |
|
4,183 |
3,079 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,617 |
6,694 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
867 |
385 |
$0.00 |
| 59430 |
|
572 |
259 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,147 |
495 |
$0.00 |
| 99384 |
|
42 |
37 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
432 |
189 |
$0.00 |
| 99386 |
|
20 |
13 |
$0.00 |
| 81025 |
|
49,622 |
34,452 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
8,396 |
6,036 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,146 |
495 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
662 |
522 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
139 |
100 |
$0.00 |
| 87481 |
|
787 |
189 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
21 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
14 |
$0.00 |