| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,671 |
17,195 |
$4.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,128 |
14,750 |
$580K |
| 59430 |
|
1,072 |
939 |
$83K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
460 |
443 |
$78K |
| 99385 |
|
212 |
208 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
252 |
235 |
$25K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
28 |
28 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
442 |
420 |
$22K |
| 99000 |
|
5,464 |
4,717 |
$13K |
| 90715 |
|
1,161 |
1,115 |
$13K |
| 81002 |
|
8,403 |
5,780 |
$7K |
| 90686 |
|
789 |
751 |
$4K |
| 81025 |
|
2,503 |
2,346 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
265 |
256 |
$970.07 |
| 11982 |
|
12 |
12 |
$734.17 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$248.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,378 |
2,246 |
$244.30 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
151 |
147 |
$178.50 |
| 3078F |
|
630 |
499 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
34 |
32 |
$0.00 |
| 3725F |
|
86 |
70 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,731 |
3,288 |
$0.00 |
| 3075F |
|
90 |
72 |
$0.00 |
| 96127 |
|
343 |
292 |
$0.00 |
| 1126F |
|
680 |
539 |
$0.00 |
| 3008F |
|
869 |
652 |
$0.00 |
| 1036F |
|
765 |
562 |
$0.00 |
| 3074F |
|
709 |
554 |
$0.00 |
| 3079F |
|
159 |
119 |
$0.00 |
| 99381 |
|
18 |
18 |
$0.00 |