| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,477 |
21,295 |
$7.83M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,142 |
9,662 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,142 |
10,238 |
$6K |
| T1016 |
Case management, each 15 minutes |
337 |
274 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
745 |
582 |
$484.72 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
228 |
113 |
$447.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,170 |
880 |
$360.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,216 |
1,054 |
$287.03 |
| 80053 |
Comprehensive metabolic panel |
3,867 |
3,621 |
$215.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,502 |
3,076 |
$92.15 |
| 0064A |
|
15 |
15 |
$83.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
443 |
225 |
$55.82 |
| 80061 |
Lipid panel |
2,666 |
2,533 |
$21.16 |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,363 |
2,225 |
$0.00 |
| 1126F |
|
1,197 |
1,109 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,131 |
2,933 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,401 |
569 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,029 |
951 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,261 |
3,080 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
6,773 |
6,060 |
$0.00 |
| 86803 |
|
62 |
62 |
$0.00 |
| 3075F |
|
304 |
295 |
$0.00 |
| 90686 |
|
1,014 |
956 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,193 |
1,134 |
$0.00 |
| 3074F |
|
1,241 |
1,140 |
$0.00 |
| 1125F |
|
464 |
440 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
14 |
14 |
$0.00 |
| 87486 |
|
33 |
25 |
$0.00 |
| 86780 |
|
13 |
12 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
314 |
297 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
196 |
176 |
$0.00 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
348 |
334 |
$0.00 |
| 86592 |
|
309 |
280 |
$0.00 |
| 82728 |
|
13 |
13 |
$0.00 |
| 87430 |
|
240 |
213 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
510 |
473 |
$0.00 |
| 87081 |
|
170 |
144 |
$0.00 |
| 82043 |
|
133 |
127 |
$0.00 |
| 82962 |
|
406 |
353 |
$0.00 |
| 3079F |
|
247 |
236 |
$0.00 |
| 81001 |
|
25 |
25 |
$0.00 |
| 87340 |
|
12 |
12 |
$0.00 |
| 90674 |
|
191 |
158 |
$0.00 |
| 87581 |
|
33 |
25 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
139 |
119 |
$0.00 |
| 90656 |
|
24 |
17 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
124 |
118 |
$0.00 |
| 82607 |
|
12 |
12 |
$0.00 |
| 85018 |
|
13 |
13 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,026 |
951 |
$0.00 |
| 81003 |
|
1,865 |
1,589 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
277 |
241 |
$0.00 |
| 81025 |
|
761 |
691 |
$0.00 |
| 3078F |
|
1,399 |
1,282 |
$0.00 |
| 83540 |
|
97 |
93 |
$0.00 |
| 1159F |
|
1,799 |
1,525 |
$0.00 |
| 3077F |
|
98 |
92 |
$0.00 |
| 87631 |
|
160 |
151 |
$0.00 |
| H2027 |
Psychoeducational service, per 15 minutes |
154 |
147 |
$0.00 |
| 90734 |
|
20 |
16 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
88 |
86 |
$0.00 |
| 1160F |
|
1,456 |
1,303 |
$0.00 |
| 82570 |
|
172 |
165 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
358 |
316 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
472 |
270 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
158 |
82 |
$0.00 |
| 86703 |
|
54 |
52 |
$0.00 |
| 90649 |
|
73 |
61 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
198 |
84 |
$0.00 |
| 90670 |
|
107 |
90 |
$0.00 |
| 83655 |
|
14 |
14 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
72 |
60 |
$0.00 |
| 87210 |
|
34 |
31 |
$0.00 |
| 80074 |
|
52 |
41 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
25 |
15 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
42 |
28 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
33 |
25 |
$0.00 |
| 85014 |
|
13 |
13 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
46 |
44 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$0.00 |
| 90715 |
|
52 |
47 |
$0.00 |
| 90633 |
|
14 |
13 |
$0.00 |