| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,714 |
12,338 |
$676K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,855 |
6,661 |
$251K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,432 |
1,222 |
$80K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
870 |
748 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
773 |
697 |
$49K |
| 99215 |
Prolong outpt/office vis |
552 |
479 |
$36K |
| 99205 |
Prolong outpt/office vis |
265 |
233 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,659 |
1,355 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
137 |
123 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
336 |
310 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
109 |
93 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
98 |
91 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
57 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
59 |
55 |
$4K |
| 99385 |
|
64 |
50 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
29 |
$1K |
| 99460 |
|
25 |
24 |
$962.87 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
36 |
35 |
$911.16 |
| 99406 |
|
227 |
132 |
$553.10 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
36 |
35 |
$365.40 |
| 99173 |
|
52 |
39 |
$73.59 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
57 |
47 |
$55.99 |
| 3008F |
|
16,739 |
14,146 |
$0.00 |
| 3074F |
|
11,288 |
9,585 |
$0.00 |
| 3079F |
|
6,508 |
5,519 |
$0.00 |
| 3075F |
|
2,838 |
2,410 |
$0.00 |
| 1111F |
|
2,850 |
2,512 |
$0.00 |
| 4010F |
|
3,395 |
2,821 |
$0.00 |
| 1031F |
|
1,406 |
1,141 |
$0.00 |
| 1036F |
|
1,383 |
1,275 |
$0.00 |
| 3080F |
|
318 |
252 |
$0.00 |
| 3044F |
|
4,243 |
3,820 |
$0.00 |
| 3066F |
|
758 |
675 |
$0.00 |
| 3011F |
|
15 |
15 |
$0.00 |
| 1126F |
|
359 |
336 |
$0.00 |
| 1034F |
|
259 |
237 |
$0.00 |
| 3061F |
|
106 |
89 |
$0.00 |
| 1125F |
|
149 |
136 |
$0.00 |
| 1159F |
|
23,769 |
19,368 |
$0.00 |
| 3078F |
|
8,138 |
6,943 |
$0.00 |
| 3210F |
|
89 |
86 |
$0.00 |
| 3725F |
|
774 |
730 |
$0.00 |
| 1160F |
|
15,301 |
12,627 |
$0.00 |
| 4013F |
|
38 |
36 |
$0.00 |
| 3077F |
|
631 |
531 |
$0.00 |
| 3016F |
|
320 |
319 |
$0.00 |
| 4025F |
|
13 |
13 |
$0.00 |