| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,078 |
2,782 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
763 |
714 |
$1K |
| 1159F |
|
2,566 |
2,322 |
$363.00 |
| 1160F |
|
2,566 |
2,322 |
$363.00 |
| 3008F |
|
1,898 |
1,767 |
$309.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$220.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
97 |
96 |
$90.00 |
| 99442 |
|
402 |
376 |
$63.31 |
| 90686 |
|
160 |
160 |
$52.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
24 |
$40.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
54 |
54 |
$30.00 |
| 92560 |
|
54 |
54 |
$26.71 |
| 36415 |
Collection of venous blood by venipuncture |
148 |
147 |
$18.00 |
| 99000 |
|
234 |
232 |
$3.59 |
| 81002 |
|
135 |
134 |
$2.13 |
| 99441 |
|
116 |
111 |
$0.00 |
| 3048F |
|
14 |
14 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
42 |
42 |
$0.00 |
| 99385 |
|
83 |
83 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
101 |
100 |
$0.00 |
| 3044F |
|
32 |
32 |
$0.00 |
| 3079F |
|
14 |
13 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
242 |
242 |
$0.00 |
| 80061 |
Lipid panel |
28 |
28 |
$0.00 |
| 3078F |
|
31 |
28 |
$0.00 |