| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,193 |
18,422 |
$1.23M |
| 59426 |
|
77 |
77 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,081 |
5,838 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,395 |
5,158 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,189 |
1,184 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,275 |
1,268 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,414 |
1,397 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
722 |
719 |
$7K |
| 59430 |
|
67 |
67 |
$6K |
| 90686 |
|
318 |
318 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
360 |
344 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,012 |
953 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
805 |
798 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
123 |
91 |
$1K |
| 90715 |
|
36 |
36 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
177 |
175 |
$861.71 |
| 90656 |
|
62 |
62 |
$728.27 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
87 |
85 |
$562.24 |
| 76830 |
Ultrasound, transvaginal |
67 |
67 |
$500.57 |
| 59025 |
Fetal non-stress test |
179 |
79 |
$442.10 |
| 81025 |
|
616 |
613 |
$327.98 |
| 90834 |
Psychotherapy, 45 minutes with patient |
59 |
49 |
$300.19 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
51 |
$235.39 |
| 90832 |
Psychotherapy, 30 minutes with patient |
12 |
12 |
$210.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
154 |
154 |
$192.96 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
47 |
45 |
$162.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
103 |
55 |
$150.81 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
61 |
$123.21 |
| 20610 |
|
111 |
106 |
$38.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$16.13 |
| 81003 |
|
13 |
13 |
$3.74 |
| 36416 |
|
293 |
290 |
$0.00 |
| 99243 |
|
13 |
12 |
$0.00 |
| 96127 |
|
14 |
14 |
$0.00 |