| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
4,561 |
3,121 |
$273K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,090 |
2,839 |
$95K |
| 88141 |
|
1,688 |
976 |
$84K |
| 59430 |
|
688 |
662 |
$50K |
| 3351F |
|
437 |
435 |
$33K |
| 0500F |
|
250 |
250 |
$22K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
677 |
673 |
$7K |
| 99215 |
Prolong outpt/office vis |
49 |
49 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
68 |
68 |
$5K |
| J3490 |
Unclassified drugs |
66 |
65 |
$4K |
| 81025 |
|
870 |
838 |
$2K |
| 90715 |
|
13 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
53 |
$961.23 |
| 96127 |
|
66 |
65 |
$314.16 |
| 96151 |
|
17 |
17 |
$124.95 |
| 99401 |
|
16 |
16 |
$124.95 |
| 97803 |
|
16 |
16 |
$124.95 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
14 |
13 |
$116.62 |