| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,627 |
12,303 |
$802K |
| 59426 |
|
856 |
841 |
$786K |
| 59430 |
|
864 |
861 |
$59K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
884 |
879 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,127 |
3,009 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,244 |
4,019 |
$21K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
24 |
24 |
$11K |
| 90715 |
|
300 |
300 |
$8K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
17 |
17 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,380 |
1,279 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
933 |
855 |
$4K |
| 58300 |
|
122 |
122 |
$3K |
| 81025 |
|
2,902 |
2,850 |
$3K |
| 90686 |
|
195 |
194 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
195 |
195 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
220 |
220 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
992 |
977 |
$1K |
| 99215 |
Prolong outpt/office vis |
55 |
55 |
$870.63 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
125 |
$787.72 |
| 36415 |
Collection of venous blood by venipuncture |
1,674 |
1,631 |
$782.39 |
| 90656 |
|
19 |
18 |
$374.79 |
| 81003 |
|
1,143 |
1,114 |
$272.42 |
| 80305 |
|
279 |
279 |
$252.21 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$207.22 |
| 58100 |
|
40 |
39 |
$155.29 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
25 |
$84.59 |
| 58301 |
|
12 |
12 |
$65.77 |
| 99406 |
|
40 |
40 |
$33.68 |
| 96160 |
|
96 |
95 |
$19.40 |
| 96127 |
|
14 |
14 |
$0.00 |