| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,565 |
18,161 |
$4.87M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,531 |
4,071 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
219 |
216 |
$979.94 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
648 |
640 |
$552.55 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
623 |
603 |
$482.10 |
| 99000 |
|
4,097 |
3,882 |
$116.16 |
| 81025 |
|
871 |
857 |
$30.80 |
| 96160 |
|
464 |
463 |
$15.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
449 |
437 |
$4.46 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
10,685 |
8,414 |
$0.36 |
| Z6400 |
|
233 |
233 |
$0.00 |
| 90715 |
|
213 |
213 |
$0.00 |
| S0613 |
Annual gynecological examination; clinical breast examination without pelvic evaluation |
185 |
184 |
$0.00 |
| Z6500 |
|
52 |
52 |
$0.00 |
| 81003 |
|
5,198 |
3,583 |
$0.00 |
| Z1034 |
|
5,357 |
3,301 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,455 |
1,415 |
$0.00 |
| Z6410 |
|
366 |
292 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
204 |
194 |
$0.00 |
| Z1032 |
|
361 |
359 |
$0.00 |
| 3351F |
|
20 |
20 |
$0.00 |
| S0612 |
Annual gynecological examination, established patient |
85 |
85 |
$0.00 |
| 90686 |
|
129 |
129 |
$0.00 |
| Z1038 |
|
186 |
182 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
40 |
$0.00 |
| OBUS |
|
25 |
23 |
$0.00 |
| Z6406 |
|
14 |
13 |
$0.00 |
| 99070 |
|
13 |
13 |
$0.00 |