| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,454 |
3,353 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,157 |
4,003 |
$35K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
463 |
314 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
108 |
108 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
396 |
350 |
$4K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
29 |
28 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
254 |
249 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$792.35 |
| 90723 |
|
54 |
51 |
$468.00 |
| 93000 |
|
13 |
13 |
$384.58 |
| 90648 |
|
34 |
31 |
$288.00 |
| 90677 |
|
33 |
30 |
$279.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$270.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
42 |
$216.00 |
| 95811 |
|
26 |
26 |
$168.13 |
| 81002 |
|
24 |
24 |
$40.85 |
| 81000 |
|
12 |
12 |
$25.80 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
244 |
241 |
$18.00 |
| 1160F |
|
5,023 |
4,844 |
$0.00 |
| 1159F |
|
8,472 |
8,180 |
$0.00 |
| 3078F |
|
50 |
50 |
$0.00 |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
26 |
26 |
$0.00 |
| 90756 |
|
17 |
17 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
27 |
$0.00 |
| 3008F |
|
4,719 |
4,639 |
$0.00 |
| 96161 |
|
118 |
115 |
$0.00 |
| 99385 |
|
25 |
25 |
$0.00 |
| 3074F |
|
95 |
93 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |