| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,183 |
2,024 |
$404K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
336 |
313 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
37 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
35 |
29 |
$5K |
| X5622 |
|
146 |
106 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
21 |
12 |
$3K |
| 99383 |
|
26 |
24 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
168 |
153 |
$0.00 |
| 81025 |
|
48 |
38 |
$0.00 |
| 90734 |
|
59 |
32 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
69 |
44 |
$0.00 |
| 99173 |
|
245 |
189 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
207 |
111 |
$0.00 |
| 87210 |
|
80 |
77 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
16 |
$0.00 |
| 92551 |
|
244 |
188 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
134 |
119 |
$0.00 |
| 96127 |
|
120 |
93 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
358 |
294 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
151 |
110 |
$0.00 |
| 87430 |
|
96 |
85 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
168 |
153 |
$0.00 |
| 90686 |
|
90 |
79 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
44 |
$0.00 |
| 90651 |
|
16 |
12 |
$0.00 |