| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,146 |
2,511 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,881 |
1,437 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
539 |
452 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
173 |
155 |
$11K |
| 99385 |
|
73 |
71 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
79 |
67 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
70 |
60 |
$3K |
| 99397 |
|
54 |
49 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
721 |
624 |
$988.11 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
12 |
$930.85 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
13 |
$234.88 |
| 81003 |
|
195 |
176 |
$141.92 |
| 93000 |
|
58 |
46 |
$116.48 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
13 |
$72.07 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
12 |
$12.57 |
| 86328 |
|
86 |
68 |
$11.34 |
| 96127 |
|
158 |
129 |
$1.97 |
| 1159F |
|
17 |
12 |
$0.00 |
| 1160F |
|
17 |
12 |
$0.00 |
| 99442 |
|
28 |
15 |
$0.00 |
| 1126F |
|
22 |
14 |
$0.00 |
| 99000 |
|
27 |
15 |
$0.00 |
| 1125F |
|
26 |
18 |
$0.00 |