| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
90,898 |
46,231 |
$18.44M |
| 90715 |
|
3,416 |
3,168 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,936 |
3,562 |
$1K |
| 59025 |
Fetal non-stress test |
8,261 |
3,449 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,409 |
22,886 |
$973.04 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,444 |
2,621 |
$631.38 |
| 90686 |
|
2,192 |
2,090 |
$541.17 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,949 |
1,335 |
$418.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,815 |
4,609 |
$358.90 |
| 90678 |
|
61 |
58 |
$302.56 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
229 |
196 |
$248.49 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,501 |
12,635 |
$193.72 |
| 99222 |
Initial hospital care, per day, moderate complexity |
829 |
741 |
$170.42 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,526 |
6,151 |
$133.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,476 |
5,954 |
$127.25 |
| 81025 |
|
8,108 |
7,286 |
$119.65 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,563 |
3,285 |
$84.43 |
| 87210 |
|
1,485 |
1,411 |
$47.22 |
| 81002 |
|
808 |
749 |
$20.69 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
148 |
143 |
$5.09 |
| 81015 |
|
12 |
12 |
$4.32 |
| 82962 |
|
60 |
48 |
$3.00 |
| 59514 |
|
854 |
766 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,597 |
1,665 |
$0.00 |
| 59430 |
|
2,190 |
2,069 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,841 |
1,063 |
$0.00 |
| 58300 |
|
559 |
533 |
$0.00 |
| 90651 |
|
146 |
138 |
$0.00 |
| 58301 |
|
105 |
101 |
$0.00 |
| 96127 |
|
139 |
97 |
$0.00 |
| 99441 |
|
97 |
91 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
39 |
32 |
$0.00 |
| 90656 |
|
267 |
262 |
$0.00 |
| 99217 |
|
53 |
44 |
$0.00 |
| 81000 |
|
27 |
27 |
$0.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,266 |
1,848 |
$0.00 |
| 99408 |
|
905 |
803 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
2,096 |
1,978 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,693 |
1,537 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
665 |
568 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,085 |
1,883 |
$0.00 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
179 |
155 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
74 |
65 |
$0.00 |
| 99401 |
|
78 |
72 |
$0.00 |
| J2675 |
Injection, progesterone, per 50 mg |
451 |
149 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
207 |
126 |
$0.00 |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
12 |
12 |
$0.00 |
| 80305 |
|
239 |
175 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
72 |
55 |
$0.00 |
| 11981 |
|
246 |
201 |
$0.00 |
| 99221 |
|
30 |
27 |
$0.00 |
| 99442 |
|
97 |
82 |
$0.00 |
| 11982 |
|
12 |
12 |
$0.00 |