| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
161,483 |
127,124 |
$38.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,089 |
23,388 |
$456K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
479 |
479 |
$387K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,539 |
4,366 |
$141K |
| 00003 |
Internal/system code - not a standard HCPCS code |
356 |
355 |
$94K |
| 11981 |
|
271 |
271 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,958 |
1,853 |
$31K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
25 |
25 |
$17K |
| J3490 |
Unclassified drugs |
332 |
293 |
$8K |
| 81025 |
|
4,639 |
4,576 |
$8K |
| 58300 |
|
65 |
34 |
$6K |
| 99460 |
|
3,022 |
2,868 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
101 |
97 |
$3K |
| 99462 |
|
2,368 |
1,905 |
$2K |
| 11976 |
|
17 |
17 |
$996.77 |
| 99000 |
|
346 |
342 |
$696.96 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,288 |
1,259 |
$689.25 |
| 99381 |
|
352 |
343 |
$271.53 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
14 |
14 |
$174.72 |
| 99221 |
|
17 |
15 |
$102.56 |
| 81002 |
|
2,511 |
2,087 |
$93.21 |
| 88720 |
|
1,585 |
1,430 |
$75.12 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
671 |
669 |
$61.79 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,181 |
828 |
$46.58 |
| 90832 |
Psychotherapy, 30 minutes with patient |
60 |
50 |
$22.79 |
| 59025 |
Fetal non-stress test |
1,185 |
831 |
$18.24 |
| 96161 |
|
354 |
321 |
$7.55 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
14 |
14 |
$7.32 |
| 85018 |
|
477 |
468 |
$6.11 |
| Z6414 |
|
1,209 |
921 |
$0.00 |
| 0502F |
|
15,499 |
13,172 |
$0.00 |
| Z6400 |
|
7,087 |
6,645 |
$0.00 |
| 90670 |
|
90 |
89 |
$0.00 |
| Z6200 |
|
220 |
220 |
$0.00 |
| 90681 |
|
254 |
249 |
$0.00 |
| 1159F |
|
1,305 |
1,180 |
$0.00 |
| 90715 |
|
99 |
99 |
$0.00 |
| 3725F |
|
202 |
187 |
$0.00 |
| Z6412 |
|
3,676 |
2,660 |
$0.00 |
| Z6304 |
|
1,709 |
1,537 |
$0.00 |
| 3078F |
|
468 |
413 |
$0.00 |
| Z6500 |
|
935 |
932 |
$0.00 |
| 90661 |
|
30 |
30 |
$0.00 |
| Z6300 |
|
33 |
32 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
243 |
243 |
$0.00 |
| Z6202 |
|
268 |
250 |
$0.00 |
| 82948 |
|
16 |
12 |
$0.00 |
| Z6302 |
|
82 |
71 |
$0.00 |
| Z6308 |
|
250 |
250 |
$0.00 |
| 1160F |
|
696 |
616 |
$0.00 |
| 99173 |
|
96 |
96 |
$0.00 |
| Z6208 |
|
237 |
237 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
51 |
51 |
$0.00 |
| 90461 |
|
38 |
38 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
20 |
17 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
17 |
15 |
$0.00 |
| 1036F |
|
655 |
566 |
$0.00 |
| Z6406 |
|
6,618 |
4,792 |
$0.00 |
| Z6410 |
|
6,661 |
4,733 |
$0.00 |
| Z1034 |
|
23,367 |
19,819 |
$0.00 |
| 90723 |
|
395 |
387 |
$0.00 |
| Z6204 |
|
5,410 |
5,004 |
$0.00 |
| Z1032 |
|
587 |
574 |
$0.00 |
| 0503F |
|
153 |
152 |
$0.00 |
| 0500F |
|
431 |
420 |
$0.00 |
| 90647 |
|
289 |
282 |
$0.00 |
| 0501F |
|
698 |
690 |
$0.00 |
| 90677 |
|
331 |
324 |
$0.00 |
| 3008F |
|
1,139 |
1,010 |
$0.00 |
| 90686 |
|
155 |
154 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
166 |
161 |
$0.00 |
| 96127 |
|
513 |
469 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3074F |
|
540 |
474 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
69 |
$0.00 |
| Z1038 |
|
176 |
161 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15 |
14 |
$0.00 |
| 92551 |
|
14 |
14 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
13 |
12 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |