| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19,297 |
16,475 |
$806K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
585 |
522 |
$93K |
| J3490 |
Unclassified drugs |
1,046 |
861 |
$52K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
902 |
902 |
$6K |
| 81025 |
|
1,887 |
1,877 |
$6K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
444 |
444 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,223 |
1,068 |
$3K |
| Z1034 |
|
39 |
28 |
$2K |
| 99386 |
|
106 |
106 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
393 |
393 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
114 |
114 |
$635.70 |
| 92551 |
|
3,604 |
3,603 |
$456.36 |
| 99385 |
|
84 |
84 |
$410.40 |
| Z6400 |
|
12 |
12 |
$181.68 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,468 |
1,468 |
$86.17 |
| 90686 |
|
47 |
47 |
$81.00 |
| 90658 |
|
33 |
33 |
$79.20 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$76.95 |
| 81002 |
|
440 |
439 |
$40.47 |
| 3079F |
|
212 |
198 |
$0.00 |
| 3008F |
|
6,127 |
5,044 |
$0.00 |
| 81000 |
|
325 |
324 |
$0.00 |
| 3074F |
|
144 |
131 |
$0.00 |
| 3075F |
|
268 |
248 |
$0.00 |
| 3080F |
|
45 |
40 |
$0.00 |
| 3044F |
|
110 |
102 |
$0.00 |
| 99384 |
|
18 |
18 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$0.00 |
| 99383 |
|
13 |
13 |
$0.00 |
| 3077F |
|
435 |
395 |
$0.00 |
| 99173 |
|
1,378 |
1,378 |
$0.00 |
| 92081 |
|
40 |
40 |
$0.00 |
| 3078F |
|
625 |
554 |
$0.00 |