| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
596 |
589 |
$103K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,125 |
4,437 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
141 |
101 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
480 |
348 |
$22K |
| Z1034 |
|
292 |
189 |
$16K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
712 |
712 |
$9K |
| J3490 |
Unclassified drugs |
79 |
63 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
52 |
$3K |
| 99000 |
|
1,803 |
1,748 |
$3K |
| 99201 |
|
15 |
15 |
$2K |
| 99381 |
|
23 |
12 |
$2K |
| 81025 |
|
624 |
623 |
$2K |
| 99401 |
|
39 |
39 |
$743.73 |
| 90647 |
|
134 |
134 |
$702.00 |
| 90670 |
|
107 |
107 |
$594.00 |
| 85018 |
|
655 |
614 |
$396.17 |
| 92551 |
|
178 |
178 |
$386.51 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$227.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
126 |
126 |
$89.10 |
| 90681 |
|
12 |
12 |
$72.00 |
| 59425 |
|
19 |
13 |
$60.48 |
| 81002 |
|
56 |
55 |
$32.81 |
| 86580 |
|
12 |
12 |
$16.65 |
| 1159F |
|
203 |
190 |
$0.00 |
| 99173 |
|
100 |
99 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
25 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 3045F |
|
25 |
24 |
$0.00 |
| 3078F |
|
37 |
36 |
$0.00 |
| 3074F |
|
63 |
58 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
451 |
441 |
$0.00 |
| 1125F |
|
192 |
179 |
$0.00 |
| 3008F |
|
947 |
843 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
87 |
53 |
$0.00 |