| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,388 |
14,720 |
$3.72M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,853 |
12,851 |
$529K |
| 59430 |
|
1,146 |
1,042 |
$91K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
237 |
235 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
375 |
351 |
$19K |
| 81002 |
|
13,392 |
9,403 |
$18K |
| 90715 |
|
871 |
859 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
277 |
271 |
$17K |
| 99000 |
|
5,007 |
4,422 |
$16K |
| 81025 |
|
837 |
797 |
$2K |
| 99385 |
|
12 |
12 |
$2K |
| 90686 |
|
186 |
184 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
199 |
162 |
$779.39 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
24 |
24 |
$28.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,162 |
1,134 |
$20.94 |
| 3078F |
|
836 |
605 |
$0.00 |
| 3725F |
|
229 |
184 |
$0.00 |
| 96160 |
|
17 |
17 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |
| 1036F |
|
622 |
461 |
$0.00 |
| 3079F |
|
153 |
133 |
$0.00 |
| 3074F |
|
949 |
679 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,416 |
3,115 |
$0.00 |
| 92551 |
|
13 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$0.00 |
| 1126F |
|
826 |
634 |
$0.00 |
| 3008F |
|
1,101 |
783 |
$0.00 |
| 1125F |
|
260 |
207 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| 36416 |
|
291 |
237 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
62 |
27 |
$0.00 |