| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,793 |
5,389 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,157 |
1,035 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,857 |
542 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,145 |
269 |
$3K |
| 83655 |
|
1,542 |
416 |
$26.92 |
| 36416 |
|
8,293 |
2,453 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,179 |
727 |
$0.00 |
| 92551 |
|
7,631 |
2,566 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
219 |
82 |
$0.00 |
| 85018 |
|
6,990 |
2,139 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,119 |
624 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
898 |
324 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
691 |
165 |
$0.00 |
| 86580 |
|
42 |
14 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
734 |
249 |
$0.00 |
| 90686 |
|
352 |
160 |
$0.00 |
| 90696 |
|
108 |
37 |
$0.00 |
| 99383 |
|
485 |
142 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
47 |
12 |
$0.00 |
| 90651 |
|
245 |
103 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
30 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,357 |
518 |
$0.00 |
| 99173 |
|
8,344 |
2,889 |
$0.00 |
| 81025 |
|
1,368 |
337 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,366 |
633 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
28 |
$0.00 |
| 80061 |
Lipid panel |
1,684 |
486 |
$0.00 |
| 99051 |
|
262 |
103 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
961 |
274 |
$0.00 |
| 90715 |
|
382 |
172 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
132 |
33 |
$0.00 |
| 81002 |
|
2,017 |
462 |
$0.00 |
| 90461 |
|
592 |
200 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,824 |
629 |
$0.00 |
| 90734 |
|
306 |
118 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,606 |
447 |
$0.00 |
| 99382 |
|
299 |
71 |
$0.00 |
| 90633 |
|
202 |
80 |
$0.00 |
| 86318 |
|
123 |
30 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
100 |
33 |
$0.00 |
| 90649 |
|
58 |
21 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
49 |
14 |
$0.00 |
| 90710 |
|
97 |
34 |
$0.00 |