| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
69,589 |
56,144 |
$11.52M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,783 |
36,096 |
$456.26 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,906 |
8,638 |
$188.01 |
| J3490 |
Unclassified drugs |
1,033 |
773 |
$22.45 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,077 |
944 |
$9.48 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
358 |
311 |
$9.00 |
| 81003 |
|
3,935 |
2,760 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
376 |
343 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
978 |
895 |
$0.00 |
| 81002 |
|
3,991 |
3,402 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
730 |
647 |
$0.00 |
| 90670 |
|
554 |
520 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
985 |
835 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,370 |
1,702 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
636 |
578 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
507 |
372 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,271 |
2,062 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
18 |
$0.00 |
| 81025 |
|
3,802 |
3,220 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
2,016 |
1,573 |
$0.00 |
| 90648 |
|
390 |
370 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,793 |
1,573 |
$0.00 |
| 11721 |
|
680 |
621 |
$0.00 |
| 99173 |
|
1,241 |
1,052 |
$0.00 |
| 90461 |
|
1,009 |
903 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,258 |
1,140 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
798 |
577 |
$0.00 |
| 90734 |
|
34 |
28 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
542 |
401 |
$0.00 |
| 90710 |
|
95 |
94 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
60 |
54 |
$0.00 |
| 80305 |
|
34 |
28 |
$0.00 |
| 90756 |
|
55 |
27 |
$0.00 |
| 90633 |
|
140 |
139 |
$0.00 |
| 99307 |
|
87 |
68 |
$0.00 |
| 11056 |
|
27 |
25 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 90714 |
|
22 |
18 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$0.00 |
| 92551 |
|
2,305 |
1,705 |
$0.00 |
| 90723 |
|
316 |
296 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
480 |
407 |
$0.00 |
| 85018 |
|
285 |
221 |
$0.00 |
| 81000 |
|
155 |
89 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
789 |
527 |
$0.00 |
| 84703 |
|
680 |
535 |
$0.00 |
| 90697 |
|
456 |
409 |
$0.00 |
| 99381 |
|
28 |
26 |
$0.00 |
| 90651 |
|
43 |
43 |
$0.00 |
| 90688 |
|
13 |
12 |
$0.00 |
| 90680 |
|
309 |
281 |
$0.00 |
| 90733 |
|
128 |
100 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
34 |
$0.00 |
| 90660 |
|
20 |
16 |
$0.00 |
| 90696 |
|
58 |
56 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12 |
12 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |