| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,236 |
971 |
$162K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
766 |
658 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85 |
71 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
141 |
138 |
$832.60 |
| 81025 |
|
238 |
233 |
$578.64 |
| 81003 |
|
344 |
239 |
$250.61 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
129 |
126 |
$180.38 |
| 1159F |
|
163 |
149 |
$0.00 |
| 3028F |
|
360 |
305 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
538 |
459 |
$0.00 |
| 3078F |
|
343 |
301 |
$0.00 |
| 0502F |
|
329 |
196 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15 |
14 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
19 |
19 |
$0.00 |
| 2001F |
|
248 |
211 |
$0.00 |
| 2010F |
|
447 |
380 |
$0.00 |
| 3079F |
|
67 |
65 |
$0.00 |
| 3074F |
|
416 |
373 |
$0.00 |
| 3351F |
|
328 |
310 |
$0.00 |
| 3008F |
|
597 |
506 |
$0.00 |
| 2000F |
|
630 |
528 |
$0.00 |
| 3292F |
|
16 |
15 |
$0.00 |
| 0501F |
|
130 |
86 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
79 |
62 |
$0.00 |
| 96127 |
|
173 |
168 |
$0.00 |
| 3353F |
|
13 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
16 |
15 |
$0.00 |
| 3044F |
|
18 |
17 |
$0.00 |
| 3075F |
|
23 |
19 |
$0.00 |