| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,222 |
21,086 |
$2.44M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,656 |
3,866 |
$13K |
| 81005 |
|
2,254 |
1,693 |
$1K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
19 |
12 |
$1K |
| 99000 |
|
2,804 |
2,544 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
157 |
$765.11 |
| 81003 |
|
2,556 |
1,941 |
$621.48 |
| 3074F |
|
1,452 |
1,188 |
$412.06 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
544 |
472 |
$242.65 |
| 81025 |
|
703 |
644 |
$110.10 |
| 87490 |
|
31 |
28 |
$48.25 |
| Z1032 |
|
234 |
234 |
$0.00 |
| Z6404 |
|
173 |
171 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,701 |
1,367 |
$0.00 |
| 3008F |
|
2,412 |
1,866 |
$0.00 |
| 1111F |
|
1,560 |
1,306 |
$0.00 |
| 1036F |
|
2,262 |
1,737 |
$0.00 |
| 2001F |
|
2,411 |
1,866 |
$0.00 |
| 3075F |
|
67 |
65 |
$0.00 |
| 3079F |
|
256 |
224 |
$0.00 |
| Z1034 |
|
7,674 |
5,277 |
$0.00 |
| 3048F |
|
15 |
12 |
$0.00 |
| Z1038 |
|
25 |
25 |
$0.00 |
| Z6406 |
|
16 |
16 |
$0.00 |
| 87590 |
|
31 |
28 |
$0.00 |
| Z6410 |
|
103 |
102 |
$0.00 |
| 90656 |
|
19 |
19 |
$0.00 |
| Z6204 |
|
26 |
26 |
$0.00 |
| 90686 |
|
46 |
44 |
$0.00 |
| 85018 |
|
24 |
24 |
$0.00 |
| Z6400 |
|
436 |
434 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,679 |
1,357 |
$0.00 |
| 3078F |
|
1,325 |
1,086 |
$0.00 |
| Z6202 |
|
143 |
143 |
$0.00 |
| Z6302 |
|
144 |
144 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
32 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
100 |
93 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$0.00 |
| Z6500 |
|
60 |
60 |
$0.00 |
| 90715 |
|
42 |
38 |
$0.00 |
| Z6208 |
|
15 |
15 |
$0.00 |
| Z6308 |
|
15 |
15 |
$0.00 |
| Z6414 |
|
15 |
15 |
$0.00 |
| Z6304 |
|
13 |
13 |
$0.00 |