| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,326 |
2,657 |
$287K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
915 |
739 |
$150K |
| Z1034 |
|
2,161 |
1,403 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,033 |
2,642 |
$87K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
429 |
408 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,631 |
1,426 |
$29K |
| J3490 |
Unclassified drugs |
267 |
208 |
$28K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
837 |
554 |
$16K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
571 |
571 |
$7K |
| Z1032 |
|
40 |
40 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
91 |
90 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
123 |
123 |
$6K |
| 99381 |
|
12 |
12 |
$1K |
| 88150 |
|
269 |
268 |
$994.08 |
| 81025 |
|
375 |
372 |
$917.62 |
| 92551 |
|
78 |
78 |
$603.95 |
| 99401 |
|
22 |
22 |
$419.54 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$329.40 |
| 64435 |
|
14 |
14 |
$175.13 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18 |
12 |
$158.76 |
| 90700 |
|
12 |
12 |
$99.00 |
| 90713 |
|
12 |
12 |
$99.00 |
| 85018 |
|
60 |
58 |
$29.37 |
| 94760 |
|
12 |
12 |
$11.18 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$0.00 |