| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,486 |
17,906 |
$5.81M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,385 |
12,159 |
$953K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,692 |
3,203 |
$279K |
| 59430 |
|
1,319 |
1,265 |
$71K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
107 |
105 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
87 |
84 |
$6K |
| 59025 |
Fetal non-stress test |
1,183 |
649 |
$210.68 |
| 81002 |
|
20,529 |
12,330 |
$198.99 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
405 |
383 |
$13.33 |
| 90715 |
|
1,207 |
1,190 |
$6.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,830 |
1,769 |
$6.29 |
| 90686 |
|
364 |
362 |
$0.24 |
| 81025 |
|
823 |
798 |
$0.01 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.01 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
294 |
294 |
$0.00 |