| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,811 |
7,888 |
$3K |
| 3008F |
|
11,531 |
10,330 |
$0.00 |
| 3074F |
|
6,992 |
6,403 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,228 |
1,169 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,834 |
2,576 |
$0.00 |
| 1125F |
|
842 |
741 |
$0.00 |
| 1036F |
|
6,076 |
5,401 |
$0.00 |
| 3075F |
|
302 |
295 |
$0.00 |
| 93000 |
|
25 |
25 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
532 |
515 |
$0.00 |
| 96127 |
|
170 |
167 |
$0.00 |
| 3079F |
|
346 |
332 |
$0.00 |
| 1126F |
|
163 |
155 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
203 |
203 |
$0.00 |
| 88142 |
|
51 |
51 |
$0.00 |
| 99441 |
|
13 |
12 |
$0.00 |
| 82962 |
|
153 |
141 |
$0.00 |
| 0001A |
|
41 |
41 |
$0.00 |
| 90674 |
|
32 |
32 |
$0.00 |
| 1157F |
|
68 |
65 |
$0.00 |
| 1170F |
|
95 |
94 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
18 |
$0.00 |
| 3078F |
|
7,157 |
6,556 |
$0.00 |
| 99173 |
|
1,552 |
1,538 |
$0.00 |
| 92552 |
|
1,638 |
1,622 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
650 |
649 |
$0.00 |
| 1160F |
|
871 |
773 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
531 |
526 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
357 |
354 |
$0.00 |
| 1159F |
|
823 |
723 |
$0.00 |
| 90461 |
|
106 |
106 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
725 |
674 |
$0.00 |
| 1090F |
|
82 |
81 |
$0.00 |
| 90649 |
|
61 |
61 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
88 |
$0.00 |
| 91300 |
|
152 |
141 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
61 |
61 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
441 |
407 |
$0.00 |
| 3725F |
|
328 |
327 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
60 |
59 |
$0.00 |
| 1158F |
|
118 |
117 |
$0.00 |
| 3077F |
|
37 |
37 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
43 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
59 |
59 |
$0.00 |
| 0002A |
|
12 |
12 |
$0.00 |
| 82948 |
|
14 |
13 |
$0.00 |
| 99483 |
Prolong outpt/office vis |
16 |
15 |
$0.00 |
| 90734 |
|
31 |
31 |
$0.00 |
| 90756 |
|
12 |
12 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
34 |
34 |
$0.00 |
| 1100F |
|
80 |
78 |
$0.00 |