| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
31,180 |
28,270 |
$10.61M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,178 |
20,178 |
$349K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,207 |
2,169 |
$56K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
359 |
358 |
$35K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
489 |
479 |
$22K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
277 |
195 |
$16K |
| 59025 |
Fetal non-stress test |
749 |
549 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
444 |
437 |
$11K |
| 90746 |
|
183 |
182 |
$10K |
| 90715 |
|
363 |
359 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
697 |
696 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
518 |
503 |
$7K |
| 81025 |
|
2,302 |
2,261 |
$6K |
| T1001 |
Nursing assessment / evaluation |
39 |
39 |
$6K |
| 90686 |
|
843 |
696 |
$3K |
| 76801 |
|
52 |
51 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
40 |
40 |
$2K |
| 59430 |
|
60 |
60 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
33 |
$1K |
| 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 |
62 |
58 |
$1K |
| 87210 |
|
171 |
95 |
$1K |
| 76813 |
|
12 |
12 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
218 |
218 |
$749.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$717.60 |
| 85018 |
|
15 |
15 |
$67.38 |
| 81002 |
|
13 |
13 |
$60.96 |
| 3074F |
|
41 |
40 |
$10.00 |
| 3075F |
|
12 |
12 |
$10.00 |
| 90656 |
|
105 |
99 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
36 |
$0.00 |
| 90651 |
|
14 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |