| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
52,297 |
40,661 |
$6.86M |
| 0012A |
|
160 |
84 |
$5K |
| 0011A |
|
173 |
101 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,413 |
16,171 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,254 |
7,347 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
594 |
584 |
$960.76 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,414 |
2,223 |
$705.24 |
| 0064A |
|
15 |
15 |
$520.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
304 |
304 |
$202.65 |
| 59425 |
|
914 |
805 |
$120.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,018 |
1,996 |
$57.50 |
| 99000 |
|
3,493 |
3,260 |
$50.74 |
| 97802 |
|
747 |
740 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,358 |
3,110 |
$0.00 |
| 85018 |
|
1,148 |
1,144 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,775 |
1,671 |
$0.00 |
| 3008F |
|
3,690 |
2,995 |
$0.00 |
| 3079F |
|
600 |
565 |
$0.00 |
| 99386 |
|
52 |
52 |
$0.00 |
| 99385 |
|
153 |
153 |
$0.00 |
| 90723 |
|
78 |
78 |
$0.00 |
| 3351F |
|
482 |
426 |
$0.00 |
| 90651 |
|
162 |
162 |
$0.00 |
| 92551 |
|
816 |
810 |
$0.00 |
| Z1034 |
|
4,664 |
3,297 |
$0.00 |
| 90686 |
|
531 |
529 |
$0.00 |
| 0501F |
|
235 |
234 |
$0.00 |
| 99383 |
|
80 |
80 |
$0.00 |
| 3074F |
|
1,163 |
1,069 |
$0.00 |
| Z1032 |
|
619 |
618 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
666 |
646 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
293 |
224 |
$0.00 |
| 0500F |
|
137 |
137 |
$0.00 |
| 93000 |
|
125 |
125 |
$0.00 |
| Z6410 |
|
1,738 |
1,313 |
$0.00 |
| J3490 |
Unclassified drugs |
380 |
370 |
$0.00 |
| 0503F |
|
29 |
29 |
$0.00 |
| 3075F |
|
338 |
329 |
$0.00 |
| 2001F |
|
387 |
352 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$0.00 |
| 90647 |
|
115 |
115 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
413 |
400 |
$0.00 |
| Z1038 |
|
235 |
220 |
$0.00 |
| 88141 |
|
246 |
246 |
$0.00 |
| 3080F |
|
262 |
251 |
$0.00 |
| 90657 |
|
28 |
28 |
$0.00 |
| 1031F |
|
128 |
116 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
34 |
34 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$0.00 |
| 59430 |
|
37 |
35 |
$0.00 |
| 99384 |
|
27 |
27 |
$0.00 |
| 90688 |
|
26 |
26 |
$0.00 |
| 99381 |
|
62 |
62 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
981 |
938 |
$0.00 |
| 81025 |
|
2,122 |
1,968 |
$0.00 |
| 3077F |
|
643 |
585 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
51 |
42 |
$0.00 |
| 99188 |
|
356 |
354 |
$0.00 |
| 3078F |
|
1,224 |
1,133 |
$0.00 |
| 81002 |
|
2,780 |
2,295 |
$0.00 |
| 92552 |
|
113 |
113 |
$0.00 |
| 99173 |
|
1,852 |
1,826 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
189 |
189 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
622 |
615 |
$0.00 |
| 96160 |
|
134 |
125 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
207 |
144 |
$0.00 |
| 90670 |
|
281 |
281 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
157 |
156 |
$0.00 |
| 83655 |
|
165 |
165 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
447 |
446 |
$0.00 |
| S0197 |
Prenatal vitamins, 30-day supply |
460 |
431 |
$0.00 |
| 90658 |
|
174 |
172 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
476 |
473 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
261 |
261 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
84 |
84 |
$0.00 |
| 0502F |
|
1,529 |
1,154 |
$0.00 |
| 90633 |
|
187 |
187 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
256 |
256 |
$0.00 |
| 3046F |
|
30 |
28 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
533 |
525 |
$0.00 |
| 90715 |
|
108 |
107 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$0.00 |
| 82947 |
|
329 |
309 |
$0.00 |
| 90734 |
|
96 |
96 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
114 |
83 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
24 |
15 |
$0.00 |
| 99382 |
|
13 |
13 |
$0.00 |
| 90700 |
|
47 |
47 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21 |
21 |
$0.00 |