| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
433 |
421 |
$0.00 |
| 85018 |
|
942 |
923 |
$0.00 |
| 92551 |
|
610 |
596 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,560 |
6,721 |
$0.00 |
| 86580 |
|
336 |
327 |
$0.00 |
| 90647 |
|
40 |
40 |
$0.00 |
| 0011A |
|
618 |
617 |
$0.00 |
| 91301 |
|
751 |
715 |
$0.00 |
| 0012A |
|
132 |
132 |
$0.00 |
| 96156 |
|
655 |
603 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
846 |
760 |
$0.00 |
| 91303 |
|
288 |
286 |
$0.00 |
| 97802 |
|
133 |
131 |
$0.00 |
| 90688 |
|
362 |
357 |
$0.00 |
| 0031A |
|
287 |
285 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
40 |
37 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,592 |
3,466 |
$0.00 |
| 81003 |
|
731 |
664 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
42 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
91 |
90 |
$0.00 |
| 81025 |
|
317 |
300 |
$0.00 |
| 90734 |
|
40 |
40 |
$0.00 |
| 99173 |
|
610 |
598 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
33 |
29 |
$0.00 |
| 90670 |
|
72 |
70 |
$0.00 |
| 59425 |
|
90 |
65 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
247 |
215 |
$0.00 |
| 90715 |
|
120 |
120 |
$0.00 |
| 99401 |
|
509 |
457 |
$0.00 |
| 90633 |
|
77 |
77 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
89 |
89 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
133 |
133 |
$0.00 |
| 97803 |
|
269 |
247 |
$0.00 |
| 90649 |
|
40 |
40 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$0.00 |
| 90644 |
|
12 |
12 |
$0.00 |