| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,459 |
6,557 |
$1.42M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
98 |
98 |
$118K |
| T1001 |
Nursing assessment / evaluation |
83 |
83 |
$15K |
| 0502F |
|
1,155 |
751 |
$10K |
| 76830 |
Ultrasound, transvaginal |
84 |
84 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,968 |
3,660 |
$4K |
| G9016 |
Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] |
143 |
114 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
14 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
658 |
631 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
203 |
197 |
$191.27 |
| 59025 |
Fetal non-stress test |
82 |
28 |
$17.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
481 |
475 |
$0.00 |
| 3008F |
|
159 |
148 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
27 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
43 |
43 |
$0.00 |