| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,006 |
957 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,276 |
1,176 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
81 |
81 |
$3K |
| 59425 |
|
84 |
48 |
$3K |
| 96150 |
|
180 |
180 |
$973.53 |
| 93000 |
|
33 |
32 |
$901.88 |
| 90749 |
|
61 |
61 |
$697.00 |
| 96151 |
|
177 |
176 |
$540.64 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18 |
17 |
$300.00 |
| 90688 |
|
14 |
14 |
$44.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
33 |
$17.84 |
| 81002 |
|
203 |
165 |
$17.67 |
| 85018 |
|
12 |
12 |
$0.41 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,397 |
1,274 |
$0.00 |
| 99000 |
|
14 |
14 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
12 |
12 |
$0.00 |
| 81025 |
|
15 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
37 |
$0.00 |