| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,026 |
2,385 |
$690K |
| 99218 |
|
15 |
13 |
$758.40 |
| 59025 |
Fetal non-stress test |
16 |
13 |
$201.14 |
| 81025 |
|
406 |
372 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,310 |
998 |
$0.00 |
| 86703 |
|
428 |
401 |
$0.00 |
| 81260 |
|
185 |
176 |
$0.00 |
| 81002 |
|
1,085 |
820 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
24 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
57 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$0.00 |
| 96127 |
|
929 |
809 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
986 |
878 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
60 |
$0.00 |
| 81242 |
|
317 |
295 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
60 |
60 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
534 |
492 |
$0.00 |
| 90686 |
|
39 |
39 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
37 |
$0.00 |