| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,913 |
5,539 |
$271K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,402 |
2,321 |
$150K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
650 |
646 |
$37K |
| T1015 |
Clinic visit/encounter, all-inclusive |
679 |
594 |
$32K |
| 87428 |
|
223 |
216 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
104 |
$9K |
| 90686 |
|
221 |
217 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
30 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
80 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
272 |
270 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$963.88 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
29 |
$442.44 |
| 92567 |
|
40 |
40 |
$367.08 |
| 99406 |
|
28 |
27 |
$199.72 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$160.78 |
| 96127 |
|
54 |
53 |
$130.02 |
| 81003 |
|
15 |
15 |
$6.87 |
| 3074F |
|
4,244 |
3,954 |
$4.78 |
| 3078F |
|
3,687 |
3,468 |
$4.02 |
| 3079F |
|
1,940 |
1,851 |
$2.11 |
| 3075F |
|
773 |
743 |
$0.48 |
| 3077F |
|
569 |
539 |
$0.48 |
| 3080F |
|
139 |
135 |
$0.02 |
| 97802 |
|
13 |
13 |
$0.00 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
16 |
13 |
$0.00 |