| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,937 |
6,978 |
$76K |
| 99215 |
Prolong outpt/office vis |
448 |
423 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
215 |
212 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
284 |
272 |
$4K |
| 99385 |
|
160 |
157 |
$839.92 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
97 |
$711.93 |
| 90682 |
|
219 |
215 |
$397.93 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
147 |
146 |
$153.80 |
| 1159F |
|
3,163 |
2,906 |
$149.04 |
| 99401 |
|
3,026 |
2,640 |
$127.59 |
| 90686 |
|
134 |
117 |
$111.45 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
205 |
205 |
$72.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
697 |
638 |
$59.67 |
| 3074F |
|
3,617 |
3,307 |
$37.50 |
| 4010F |
|
624 |
598 |
$13.34 |
| 3078F |
|
3,489 |
3,204 |
$0.00 |
| 1160F |
|
3,158 |
2,902 |
$0.00 |
| 1119F |
|
338 |
336 |
$0.00 |
| 3077F |
|
91 |
86 |
$0.00 |
| 3725F |
|
371 |
367 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
137 |
134 |
$0.00 |
| 2022F |
|
18 |
12 |
$0.00 |
| 3015F |
|
54 |
54 |
$0.00 |
| 2026F |
|
18 |
12 |
$0.00 |
| 3079F |
|
905 |
871 |
$0.00 |
| 99407 |
|
28 |
24 |
$0.00 |
| 81001 |
|
245 |
230 |
$0.00 |
| 3008F |
|
3,015 |
2,778 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
771 |
668 |
$0.00 |
| 3075F |
|
585 |
568 |
$0.00 |
| 3017F |
|
335 |
324 |
$0.00 |
| 3014F |
|
235 |
232 |
$0.00 |
| 90688 |
|
102 |
99 |
$0.00 |
| 3514F |
|
190 |
189 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
244 |
218 |
$0.00 |
| 92250 |
|
88 |
24 |
$0.00 |
| 3044F |
|
16 |
16 |
$0.00 |
| 3080F |
|
25 |
24 |
$0.00 |
| 93000 |
|
17 |
16 |
$0.00 |