| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,567 |
23,210 |
$9.18M |
| 0011A |
|
115 |
113 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,053 |
8,722 |
$2K |
| 0012A |
|
44 |
44 |
$2K |
| 3074F |
|
3,177 |
2,570 |
$590.00 |
| 3078F |
|
2,461 |
2,009 |
$540.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,342 |
1,223 |
$493.81 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
33 |
32 |
$433.01 |
| 3079F |
|
992 |
843 |
$350.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
714 |
661 |
$198.55 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,199 |
1,937 |
$140.40 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
80 |
72 |
$120.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
37 |
37 |
$100.02 |
| 36415 |
Collection of venous blood by venipuncture |
3,266 |
3,056 |
$76.50 |
| 84443 |
Thyroid stimulating hormone (TSH) |
284 |
267 |
$64.99 |
| 3077F |
|
102 |
94 |
$60.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
326 |
303 |
$22.00 |
| 3075F |
|
112 |
105 |
$20.00 |
| 92552 |
|
639 |
584 |
$8.00 |
| 99173 |
|
654 |
605 |
$6.00 |
| 80053 |
Comprehensive metabolic panel |
926 |
842 |
$0.05 |
| 80061 |
Lipid panel |
978 |
912 |
$0.03 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
822 |
764 |
$0.03 |
| 90461 |
|
282 |
263 |
$0.00 |
| 99401 |
|
1,429 |
1,312 |
$0.00 |
| 1159F |
|
3,682 |
2,943 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
207 |
198 |
$0.00 |
| G9920 |
Screening performed and negative |
435 |
410 |
$0.00 |
| 1160F |
|
3,715 |
2,966 |
$0.00 |
| 82948 |
|
69 |
67 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
155 |
141 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
452 |
424 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
62 |
60 |
$0.00 |
| 81025 |
|
195 |
178 |
$0.00 |
| 99348 |
|
76 |
62 |
$0.00 |
| 99499 |
|
332 |
326 |
$0.00 |
| 81002 |
|
69 |
68 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
70 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
82 |
80 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
43 |
$0.00 |
| 3008F |
|
3,937 |
3,396 |
$0.00 |
| 90686 |
|
303 |
303 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
429 |
403 |
$0.00 |
| 80050 |
General health panel |
126 |
121 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
629 |
577 |
$0.00 |
| 86592 |
|
706 |
651 |
$0.00 |
| 82962 |
|
183 |
153 |
$0.00 |
| 36416 |
|
222 |
191 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
189 |
171 |
$0.00 |
| T2022 |
Case management, per month |
421 |
410 |
$0.00 |
| 4010F |
|
16 |
12 |
$0.00 |
| 92551 |
|
44 |
43 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
24 |
$0.00 |
| 91301 |
|
52 |
49 |
$0.00 |
| 99172 |
|
35 |
34 |
$0.00 |