| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
44,750 |
30,368 |
$4.58M |
| 3074F |
|
14,449 |
11,475 |
$2K |
| 3078F |
|
14,048 |
11,153 |
$2K |
| 3079F |
|
2,164 |
1,937 |
$325.00 |
| 3075F |
|
1,580 |
1,428 |
$255.00 |
| 81003 |
|
6,777 |
4,214 |
$0.13 |
| 87210 |
|
236 |
140 |
$0.09 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,098 |
3,234 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,775 |
2,569 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,630 |
1,462 |
$0.00 |
| 3725F |
|
6,496 |
5,505 |
$0.00 |
| 81025 |
|
4,347 |
3,422 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
241 |
183 |
$0.00 |
| 81002 |
|
4,393 |
3,067 |
$0.00 |
| 59025 |
Fetal non-stress test |
469 |
237 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
287 |
279 |
$0.00 |
| 3016F |
|
305 |
284 |
$0.00 |
| 76818 |
|
50 |
26 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
14 |
$0.00 |
| 87220 |
|
34 |
28 |
$0.00 |
| 59430 |
|
520 |
331 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,229 |
13,883 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,516 |
6,135 |
$0.00 |
| 1036F |
|
10,400 |
8,094 |
$0.00 |
| 3008F |
|
16,476 |
12,897 |
$0.00 |
| 99385 |
|
267 |
245 |
$0.00 |
| 1034F |
|
2,980 |
2,517 |
$0.00 |
| 1031F |
|
143 |
126 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
673 |
531 |
$0.00 |
| 1126F |
|
11,601 |
9,336 |
$0.00 |
| 99386 |
|
13 |
13 |
$0.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
17 |
13 |
$0.00 |
| 1125F |
|
18 |
18 |
$0.00 |
| 99384 |
|
28 |
26 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |