| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,387 |
23,891 |
$5.06M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,153 |
11,953 |
$208.18 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,254 |
3,435 |
$173.45 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,870 |
3,131 |
$19.57 |
| 81003 |
|
6,590 |
3,195 |
$6.31 |
| 81002 |
|
4,036 |
2,799 |
$2.15 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
86 |
59 |
$0.00 |
| 76801 |
|
470 |
290 |
$0.00 |
| 99459 |
|
78 |
35 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,716 |
1,356 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
55 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
29 |
25 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
53 |
38 |
$0.00 |
| 99385 |
|
17 |
13 |
$0.00 |
| 99386 |
|
25 |
15 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$0.00 |
| 81025 |
|
1,206 |
828 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
433 |
364 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
356 |
329 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
121 |
98 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
251 |
203 |
$0.00 |
| 54150 |
|
17 |
12 |
$0.00 |
| 90715 |
|
20 |
16 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
51 |
41 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
99 |
88 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
249 |
231 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
16 |
$0.00 |