| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,713 |
3,499 |
$48.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,421 |
3,285 |
$37.50 |
| 96150 |
|
1,265 |
1,255 |
$36.06 |
| 81003 |
|
848 |
750 |
$15.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
268 |
267 |
$4.46 |
| 3008F |
|
4,915 |
4,630 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
454 |
444 |
$0.00 |
| 1036F |
|
3,912 |
3,706 |
$0.00 |
| 3074F |
|
6,705 |
6,247 |
$0.00 |
| 3079F |
|
538 |
525 |
$0.00 |
| 99000 |
|
673 |
645 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
733 |
728 |
$0.00 |
| 1000F |
|
4,118 |
3,899 |
$0.00 |
| 85018 |
|
135 |
131 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
67 |
$0.00 |
| 3075F |
|
303 |
292 |
$0.00 |
| 90688 |
|
53 |
53 |
$0.00 |
| 94760 |
|
35 |
34 |
$0.00 |
| 3078F |
|
7,097 |
6,594 |
$0.00 |
| 82948 |
|
737 |
677 |
$0.00 |
| S0197 |
Prenatal vitamins, 30-day supply |
25 |
25 |
$0.00 |
| 99173 |
|
204 |
203 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
97 |
92 |
$0.00 |
| 3077F |
|
301 |
289 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
213 |
200 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
47 |
44 |
$0.00 |
| A4550 |
Surgical trays |
39 |
39 |
$0.00 |
| 99201 |
|
228 |
170 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
13 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
215 |
198 |
$0.00 |
| 92552 |
|
93 |
92 |
$0.00 |
| 81025 |
|
76 |
75 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$0.00 |