| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
53,698 |
37,754 |
$3.52M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,881 |
23,549 |
$483.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,481 |
1,123 |
$55.28 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,878 |
2,721 |
$44.15 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
721 |
528 |
$19.81 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
292 |
225 |
$8.69 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,630 |
1,277 |
$8.68 |
| 81002 |
|
23,481 |
16,612 |
$6.86 |
| 81025 |
|
7,515 |
4,723 |
$5.21 |
| 90674 |
|
348 |
271 |
$0.00 |
| 3075F |
|
467 |
291 |
$0.00 |
| 59430 |
|
369 |
146 |
$0.00 |
| 3079F |
|
901 |
553 |
$0.00 |
| 99385 |
|
14 |
12 |
$0.00 |
| 1036F |
|
3,514 |
2,077 |
$0.00 |
| 81001 |
|
680 |
478 |
$0.00 |
| 3074F |
|
3,911 |
2,344 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
332 |
258 |
$0.00 |
| 3008F |
|
4,428 |
2,649 |
$0.00 |
| 3078F |
|
3,469 |
2,091 |
$0.00 |
| 1160F |
|
715 |
431 |
$0.00 |
| 1159F |
|
716 |
432 |
$0.00 |
| 59025 |
Fetal non-stress test |
59 |
40 |
$0.00 |