| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,622 |
7,185 |
$762K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,467 |
8,999 |
$717K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,662 |
1,637 |
$139K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,149 |
1,140 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
295 |
284 |
$25K |
| 99385 |
|
236 |
235 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
193 |
193 |
$22K |
| 93000 |
|
2,418 |
2,372 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
280 |
279 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
241 |
239 |
$18K |
| 81002 |
|
4,264 |
4,167 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
2,745 |
2,690 |
$7K |
| 93922 |
|
95 |
93 |
$4K |
| 99406 |
|
591 |
545 |
$4K |
| 99386 |
|
30 |
30 |
$4K |
| 99384 |
|
31 |
31 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
420 |
415 |
$3K |
| 90656 |
|
161 |
160 |
$3K |
| 99000 |
|
648 |
605 |
$2K |
| 85018 |
|
725 |
718 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 82962 |
|
450 |
413 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
23 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
41 |
41 |
$819.64 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
50 |
49 |
$627.90 |
| 87110 |
|
76 |
73 |
$382.98 |
| 94010 |
|
14 |
13 |
$243.66 |
| 90688 |
|
12 |
12 |
$105.52 |
| 88142 |
|
12 |
12 |
$50.87 |
| 99051 |
|
14 |
14 |
$30.00 |