| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,015 |
19,201 |
$1.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,006 |
1,905 |
$82K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,033 |
978 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,613 |
1,499 |
$41K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
643 |
591 |
$38K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,240 |
2,028 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
302 |
292 |
$20K |
| 92551 |
|
2,518 |
2,382 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
809 |
738 |
$11K |
| 99490 |
Ccm add 20min |
3,410 |
3,257 |
$8K |
| 81002 |
|
3,494 |
3,036 |
$7K |
| 82962 |
|
3,474 |
3,088 |
$5K |
| 99173 |
|
2,571 |
2,414 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
41 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
28 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
95 |
93 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$1K |
| 20610 |
|
55 |
53 |
$940.86 |
| 99050 |
|
15 |
15 |
$216.90 |
| 90473 |
|
36 |
15 |
$156.45 |
| 87110 |
|
1,363 |
1,182 |
$4.80 |
| 3078F |
|
557 |
522 |
$0.87 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
556 |
467 |
$0.74 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
556 |
467 |
$0.74 |
| 3074F |
|
310 |
288 |
$0.51 |
| 3075F |
|
74 |
71 |
$0.14 |
| 90649 |
|
215 |
204 |
$0.00 |
| 90734 |
|
116 |
114 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 90672 |
|
15 |
15 |
$0.00 |
| 90686 |
|
149 |
135 |
$0.00 |
| 90660 |
|
73 |
39 |
$0.00 |