| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,425 |
10,630 |
$4.43M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,411 |
2,895 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,305 |
3,287 |
$720.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,169 |
947 |
$672.87 |
| 81003 |
|
4,890 |
2,835 |
$384.00 |
| 81025 |
|
1,322 |
1,067 |
$28.50 |
| 1159F |
|
180 |
165 |
$0.05 |
| 1036F |
|
2,340 |
2,079 |
$0.02 |
| 81002 |
|
604 |
339 |
$0.00 |
| 59025 |
Fetal non-stress test |
30 |
13 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
45 |
29 |
$0.00 |
| 1158F |
|
1,021 |
987 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
53 |
53 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
37 |
$0.00 |
| 1220F |
|
1,118 |
1,057 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
272 |
232 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
88 |
58 |
$0.00 |
| 90686 |
|
258 |
222 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
113 |
110 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
36 |
$0.00 |
| 1125F |
|
13 |
13 |
$0.00 |