| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,899 |
30,561 |
$3.88M |
| 0011A |
|
32 |
32 |
$1K |
| 0012A |
|
29 |
29 |
$1K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
771 |
673 |
$725.00 |
| 0064A |
|
13 |
13 |
$547.82 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,324 |
26,036 |
$74.91 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |
| 3078F |
|
1,180 |
803 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
435 |
398 |
$0.00 |
| 90734 |
|
152 |
136 |
$0.00 |
| 81025 |
|
309 |
228 |
$0.00 |
| 1160F |
|
190 |
172 |
$0.00 |
| 3077F |
|
557 |
391 |
$0.00 |
| 90715 |
|
128 |
118 |
$0.00 |
| 90707 |
|
62 |
50 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
40 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
113 |
110 |
$0.00 |
| 81002 |
|
517 |
431 |
$0.00 |
| 90461 |
|
74 |
73 |
$0.00 |
| 1159F |
|
586 |
489 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
116 |
104 |
$0.00 |
| 3050F |
|
25 |
15 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
104 |
93 |
$0.00 |
| 90670 |
|
68 |
56 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
90 |
84 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,305 |
4,394 |
$0.00 |
| 3074F |
|
1,173 |
804 |
$0.00 |
| 3079F |
|
557 |
369 |
$0.00 |
| 90698 |
|
26 |
18 |
$0.00 |
| 3048F |
|
208 |
131 |
$0.00 |
| 1125F |
|
35 |
33 |
$0.00 |
| 3080F |
|
391 |
278 |
$0.00 |
| 3075F |
|
404 |
262 |
$0.00 |
| 90619 |
|
83 |
82 |
$0.00 |
| 87490 |
|
88 |
82 |
$0.00 |
| 90686 |
|
95 |
94 |
$0.00 |
| 90716 |
|
64 |
52 |
$0.00 |
| 3008F |
|
311 |
180 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
49 |
39 |
$0.00 |
| 3044F |
|
50 |
29 |
$0.00 |
| 97802 |
|
101 |
83 |
$0.00 |
| 90651 |
|
61 |
58 |
$0.00 |
| 3353F |
|
16 |
15 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$0.00 |
| 99383 |
|
18 |
16 |
$0.00 |