| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,697 |
13,182 |
$3.14M |
| 0510 |
|
2,038 |
2,035 |
$60K |
| 92552 |
|
1,878 |
1,863 |
$6K |
| 90686 |
|
456 |
440 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
613 |
613 |
$735.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
613 |
613 |
$735.00 |
| 85018 |
|
558 |
546 |
$237.68 |
| 90674 |
|
15 |
15 |
$166.05 |
| 90734 |
|
59 |
59 |
$154.98 |
| 90651 |
|
39 |
39 |
$132.84 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
680 |
675 |
$0.00 |
| Z7500 |
|
952 |
937 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
452 |
443 |
$0.00 |
| 3078F |
|
1,442 |
1,352 |
$0.00 |
| 99173 |
|
530 |
530 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
162 |
157 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
101 |
$0.00 |
| 81025 |
|
29 |
28 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| 86480 |
|
12 |
12 |
$0.00 |
| 99201 |
|
20 |
20 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,391 |
2,360 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
216 |
215 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,600 |
2,336 |
$0.00 |
| 99385 |
|
495 |
480 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,878 |
5,155 |
$0.00 |
| 3079F |
|
272 |
263 |
$0.00 |
| 3074F |
|
1,672 |
1,560 |
$0.00 |
| 99384 |
|
188 |
183 |
$0.00 |
| 3008F |
|
13 |
13 |
$0.00 |
| 96127 |
|
40 |
40 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |