| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,796 |
18,467 |
$3.14M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,310 |
837 |
$254.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,756 |
6,280 |
$149.52 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
369 |
269 |
$149.24 |
| 99221 |
|
496 |
213 |
$62.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,098 |
815 |
$14.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,920 |
2,264 |
$0.00 |
| 90633 |
|
105 |
91 |
$0.00 |
| 0502F |
|
3,746 |
1,221 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
112 |
42 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
1,842 |
1,594 |
$0.00 |
| 81003 |
|
14,820 |
6,675 |
$0.00 |
| 90710 |
|
42 |
39 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
723 |
407 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
900 |
643 |
$0.00 |
| 81025 |
|
5,126 |
3,021 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
303 |
240 |
$0.00 |
| 90670 |
|
641 |
445 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
155 |
125 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
631 |
517 |
$0.00 |
| S9441 |
Asthma education, non-physician provider, per session |
17 |
14 |
$0.00 |
| 90473 |
|
38 |
15 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
367 |
111 |
$0.00 |
| 99218 |
|
70 |
15 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
151 |
110 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
40 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
36 |
16 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,571 |
5,580 |
$0.00 |
| 76801 |
|
846 |
488 |
$0.00 |
| 90697 |
|
300 |
149 |
$0.00 |
| 82962 |
|
1,300 |
887 |
$0.00 |
| 90680 |
|
363 |
221 |
$0.00 |
| 90647 |
|
180 |
169 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
133 |
107 |
$0.00 |
| 90723 |
|
146 |
140 |
$0.00 |
| 90686 |
|
18 |
12 |
$0.00 |
| 90474 |
|
267 |
174 |
$0.00 |
| 87807 |
|
68 |
48 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
583 |
363 |
$0.00 |
| 59514 |
|
170 |
55 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
24 |
$0.00 |