| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,446 |
1,149 |
$56K |
| 99385 |
|
181 |
180 |
$14K |
| 81025 |
|
1,016 |
923 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
98 |
$6K |
| 81002 |
|
657 |
632 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$845.62 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
141 |
136 |
$807.24 |
| H1010 |
Non-medical family planning education, per session |
19 |
18 |
$209.10 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
184 |
161 |
$207.63 |
| 99072 |
|
182 |
160 |
$15.00 |
| 99423 |
|
195 |
175 |
$0.00 |
| 36416 |
|
161 |
138 |
$0.00 |