| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
111,837 |
70,639 |
$19.67M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,434 |
13,859 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,822 |
12,334 |
$100K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
383 |
377 |
$66K |
| A4267 |
Contraceptive supply, condom, male, each |
794 |
790 |
$9K |
| J3490 |
Unclassified drugs |
65 |
52 |
$5K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
425 |
399 |
$3K |
| 99000 |
|
10,273 |
8,918 |
$3K |
| 59425 |
|
1,730 |
1,155 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,228 |
3,310 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,383 |
2,971 |
$1K |
| 81025 |
|
784 |
768 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
658 |
544 |
$833.79 |
| S4993 |
Contraceptive pills for birth control |
24 |
24 |
$732.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
842 |
578 |
$671.60 |
| 0012A |
|
13 |
13 |
$520.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,006 |
953 |
$504.22 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
528 |
421 |
$242.32 |
| 81002 |
|
13,359 |
9,939 |
$217.53 |
| 90686 |
|
313 |
263 |
$144.96 |
| S5000 |
Prescription drug, generic |
20 |
15 |
$128.65 |
| 92551 |
|
2,381 |
1,978 |
$88.95 |
| 99381 |
|
227 |
223 |
$79.41 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,741 |
1,548 |
$64.76 |
| 90715 |
|
25 |
24 |
$42.77 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
100 |
84 |
$37.50 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
108 |
80 |
$36.00 |
| 99173 |
|
2,882 |
2,411 |
$22.26 |
| 86580 |
|
115 |
96 |
$19.35 |
| 99401 |
|
1,276 |
866 |
$19.07 |
| 90680 |
|
314 |
301 |
$18.00 |
| 90697 |
|
39 |
37 |
$18.00 |
| 85018 |
|
2,251 |
1,878 |
$9.81 |
| 90656 |
|
44 |
38 |
$9.00 |
| Z6410 |
|
3,303 |
2,450 |
$0.00 |
| 3079F |
|
473 |
389 |
$0.00 |
| Z1032 |
|
304 |
304 |
$0.00 |
| 97802 |
|
474 |
396 |
$0.00 |
| Z1034 |
|
6,820 |
5,205 |
$0.00 |
| 96151 |
|
535 |
431 |
$0.00 |
| Z6406 |
|
2,967 |
2,260 |
$0.00 |
| Z6204 |
|
1,999 |
1,713 |
$0.00 |
| 3074F |
|
1,803 |
1,396 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
282 |
240 |
$0.00 |
| Z6404 |
|
3,914 |
2,817 |
$0.00 |
| 1111F |
|
571 |
473 |
$0.00 |
| Z1038 |
|
39 |
39 |
$0.00 |
| 82962 |
|
172 |
131 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
175 |
110 |
$0.00 |
| 3008F |
|
15 |
14 |
$0.00 |
| 3075F |
|
126 |
105 |
$0.00 |
| 90723 |
|
220 |
206 |
$0.00 |
| 96150 |
|
312 |
272 |
$0.00 |
| G9231 |
Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period |
30 |
24 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
38 |
38 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
27 |
25 |
$0.00 |
| 59430 |
|
28 |
27 |
$0.00 |
| 88150 |
|
18 |
12 |
$0.00 |
| Z6208 |
|
1,061 |
687 |
$0.00 |
| Z6500 |
|
1,033 |
1,031 |
$0.00 |
| 90633 |
|
49 |
41 |
$0.00 |
| Z6400 |
|
2,695 |
2,180 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,448 |
1,121 |
$0.00 |
| 1159F |
|
2,275 |
1,799 |
$0.00 |
| Z6202 |
|
2,484 |
1,825 |
$0.00 |
| Z6414 |
|
1,184 |
812 |
$0.00 |
| 90670 |
|
595 |
550 |
$0.00 |
| 97803 |
|
514 |
454 |
$0.00 |
| Z6304 |
|
1,731 |
1,455 |
$0.00 |
| Z6302 |
|
1,875 |
1,364 |
$0.00 |
| Z6308 |
|
1,217 |
765 |
$0.00 |
| S0197 |
Prenatal vitamins, 30-day supply |
245 |
245 |
$0.00 |
| 1160F |
|
1,147 |
979 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,323 |
850 |
$0.00 |
| 90648 |
|
548 |
499 |
$0.00 |
| 3078F |
|
1,634 |
1,293 |
$0.00 |
| 90473 |
|
313 |
300 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
42 |
27 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
14 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
18 |
12 |
$0.00 |
| 3077F |
|
37 |
25 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
98 |
88 |
$0.00 |
| 99188 |
|
34 |
29 |
$0.00 |
| 96152 |
|
139 |
124 |
$0.00 |
| 90671 |
|
62 |
59 |
$0.00 |