| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,445 |
1,911 |
$168K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
684 |
588 |
$52K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
23 |
14 |
$825.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
623 |
569 |
$128.20 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
170 |
146 |
$111.64 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
922 |
805 |
$83.40 |
| 36415 |
Collection of venous blood by venipuncture |
88 |
77 |
$70.00 |
| 92551 |
|
15 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$0.00 |
| 99173 |
|
16 |
13 |
$0.00 |