| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,349 |
1,759 |
$76K |
| 99384 |
|
177 |
167 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
704 |
631 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
139 |
136 |
$11K |
| 92551 |
|
288 |
265 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
136 |
123 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
50 |
$749.70 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$734.25 |
| 99173 |
|
607 |
539 |
$534.54 |
| 86703 |
|
121 |
86 |
$389.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
17 |
$173.47 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
13 |
$85.51 |
| 85018 |
|
44 |
33 |
$53.04 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
85 |
67 |
$0.00 |
| 90734 |
|
18 |
18 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
86 |
68 |
$0.00 |
| 90620 |
|
30 |
30 |
$0.00 |
| 90686 |
|
16 |
14 |
$0.00 |