| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,138 |
4,954 |
$160K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,405 |
1,379 |
$68K |
| 90686 |
|
283 |
281 |
$6K |
| 96156 |
|
338 |
231 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$4K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
230 |
182 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
686 |
652 |
$4K |
| 99401 |
|
224 |
126 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
66 |
$2K |
| 99243 |
|
16 |
12 |
$1K |
| 81003 |
|
555 |
499 |
$1K |
| 97802 |
|
58 |
55 |
$639.54 |
| 90715 |
|
12 |
12 |
$433.56 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
38 |
37 |
$342.19 |
| 81025 |
|
109 |
106 |
$302.40 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
14 |
14 |
$235.48 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
25 |
$216.96 |
| 3078F |
|
521 |
509 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
25 |
25 |
$0.00 |
| 3077F |
|
57 |
56 |
$0.00 |
| 99051 |
|
300 |
294 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
48 |
48 |
$0.00 |
| 3074F |
|
222 |
216 |
$0.00 |