| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,816 |
12,466 |
$1.52M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,209 |
8,163 |
$328K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,407 |
846 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
565 |
350 |
$18K |
| 81002 |
|
6,923 |
3,439 |
$8K |
| 81025 |
|
2,469 |
1,455 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
48 |
25 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
88 |
59 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
79 |
55 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
28 |
12 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
34 |
27 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
16 |
$1K |
| 99459 |
|
62 |
60 |
$909.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
34 |
$524.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
95 |
79 |
$315.05 |
| 96127 |
|
133 |
79 |
$269.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$223.52 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
105 |
91 |
$138.31 |
| 1159F |
|
3,181 |
1,680 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,520 |
3,295 |
$0.00 |
| 3078F |
|
1,851 |
993 |
$0.00 |
| 1160F |
|
3,181 |
1,680 |
$0.00 |
| 3015F |
|
900 |
475 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
2,231 |
1,193 |
$0.00 |
| 4004F |
|
2,363 |
1,297 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
12 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,481 |
3,158 |
$0.00 |
| 1036F |
|
2,781 |
1,573 |
$0.00 |
| 1126F |
|
1,576 |
815 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
793 |
416 |
$0.00 |
| 3074F |
|
2,800 |
1,497 |
$0.00 |
| 3079F |
|
305 |
161 |
$0.00 |