| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,183 |
3,050 |
$194K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,451 |
2,759 |
$112K |
| 59426 |
|
1,932 |
1,165 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
566 |
489 |
$46K |
| 99215 |
Prolong outpt/office vis |
609 |
472 |
$43K |
| 59425 |
|
1,407 |
1,022 |
$38K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,690 |
542 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
123 |
112 |
$11K |
| 81003 |
|
5,224 |
3,664 |
$8K |
| 95251 |
|
536 |
412 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,021 |
1,610 |
$6K |
| 95886 |
|
105 |
49 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
67 |
60 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
46 |
37 |
$3K |
| 81025 |
|
421 |
346 |
$2K |
| 83037 |
|
1,226 |
996 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
124 |
100 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
53 |
37 |
$1K |
| 76830 |
Ultrasound, transvaginal |
15 |
13 |
$1K |
| 81002 |
|
560 |
287 |
$543.21 |
| 3044F |
|
241 |
197 |
$220.00 |
| 97597 |
|
26 |
12 |
$158.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$133.34 |
| 99000 |
|
43 |
39 |
$98.29 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
68 |
$30.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
23 |
$17.61 |
| 90686 |
|
24 |
21 |
$16.87 |
| 3008F |
|
764 |
682 |
$0.00 |
| 3074F |
|
1,530 |
1,347 |
$0.00 |
| 1000F |
|
260 |
223 |
$0.00 |
| 3079F |
|
301 |
281 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
14 |
12 |
$0.00 |
| 1036F |
|
112 |
93 |
$0.00 |
| 3078F |
|
1,249 |
1,106 |
$0.00 |
| 2028F |
|
28 |
25 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |