| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,866 |
6,220 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,310 |
1,239 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
689 |
670 |
$730.91 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
34 |
34 |
$685.00 |
| 88150 |
|
27 |
26 |
$680.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
286 |
281 |
$433.38 |
| 90688 |
|
117 |
117 |
$385.94 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
114 |
114 |
$373.15 |
| 90686 |
|
31 |
31 |
$350.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
107 |
99 |
$289.76 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
359 |
359 |
$174.37 |
| 99386 |
|
73 |
73 |
$92.50 |
| 90656 |
|
48 |
48 |
$92.44 |
| S0612 |
Annual gynecological examination, established patient |
26 |
26 |
$60.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
57 |
57 |
$60.00 |
| 93000 |
|
12 |
12 |
$40.00 |
| 99000 |
|
16 |
14 |
$0.00 |