| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,307 |
10,526 |
$2.29M |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
9,880 |
9,191 |
$924K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
679 |
667 |
$170K |
| 0064A |
|
4,021 |
4,020 |
$152K |
| 77080 |
|
3,735 |
2,636 |
$140K |
| 0012A |
|
2,198 |
2,198 |
$100K |
| 43235 |
|
447 |
432 |
$89K |
| 0011A |
|
2,103 |
2,103 |
$86K |
| 0134A |
|
1,946 |
1,946 |
$58K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,723 |
2,702 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
391 |
389 |
$44K |
| 46930 |
|
201 |
198 |
$26K |
| 90674 |
|
1,204 |
1,202 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
239 |
239 |
$20K |
| 0031A |
|
352 |
352 |
$18K |
| 90716 |
|
141 |
141 |
$12K |
| 93000 |
|
496 |
496 |
$9K |
| 77065 |
Tomosynthesis, mammo |
105 |
104 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
44 |
44 |
$7K |
| 90688 |
|
406 |
406 |
$4K |
| 82270 |
|
1,085 |
1,078 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
30 |
$2K |
| 90746 |
|
41 |
41 |
$2K |
| 90756 |
|
198 |
197 |
$2K |
| 91322 |
|
106 |
106 |
$2K |
| 0013A |
|
29 |
29 |
$1K |
| 90686 |
|
97 |
97 |
$1K |
| 0034A |
|
39 |
39 |
$916.50 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
99 |
99 |
$733.32 |
| 90707 |
|
15 |
15 |
$706.05 |
| 90480 |
|
106 |
106 |
$478.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$181.65 |
| G0008 |
Administration of influenza virus vaccine |
33 |
33 |
$150.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$143.10 |
| 91301 |
|
59 |
58 |
$0.33 |
| 91313 |
|
1,418 |
1,418 |
$0.30 |
| 91306 |
|
1,327 |
1,327 |
$0.19 |
| 91303 |
|
40 |
40 |
$0.00 |