| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,406 |
4,875 |
$830K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,233 |
3,146 |
$206K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,468 |
2,483 |
$176K |
| G9920 |
Screening performed and negative |
873 |
720 |
$13K |
| J3490 |
Unclassified drugs |
212 |
183 |
$11K |
| 81025 |
|
3,095 |
2,812 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
33 |
$6K |
| S4993 |
Contraceptive pills for birth control |
215 |
206 |
$5K |
| 99403 |
|
29 |
29 |
$1K |
| 99383 |
|
158 |
141 |
$537.31 |
| 99402 |
|
12 |
12 |
$381.48 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
24 |
24 |
$305.28 |
| A4267 |
Contraceptive supply, condom, male, each |
80 |
74 |
$231.64 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
12 |
$123.39 |
| 99384 |
|
41 |
35 |
$72.36 |
| 90461 |
|
144 |
135 |
$59.40 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
15 |
$43.47 |
| 90713 |
|
20 |
14 |
$20.00 |
| 90715 |
|
53 |
41 |
$20.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
591 |
550 |
$19.80 |
| 90716 |
|
35 |
31 |
$10.00 |
| 90651 |
|
82 |
55 |
$0.00 |
| 90686 |
|
76 |
55 |
$0.00 |
| 85018 |
|
51 |
41 |
$0.00 |
| 90656 |
|
21 |
12 |
$0.00 |
| 90744 |
|
13 |
12 |
$0.00 |
| 92551 |
|
13 |
13 |
$0.00 |
| 90633 |
|
48 |
39 |
$0.00 |
| 99173 |
|
17 |
17 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
67 |
40 |
$0.00 |