| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99429 |
|
756 |
749 |
$67K |
| 90688 |
|
2,238 |
2,231 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,810 |
11,981 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
900 |
896 |
$2K |
| 36410 |
|
2,966 |
2,930 |
$1K |
| 96160 |
|
2,679 |
2,611 |
$547.67 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
291 |
290 |
$354.82 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
622 |
621 |
$205.80 |
| 96156 |
|
1,633 |
1,628 |
$165.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
71 |
$72.40 |
| 82274 |
|
70 |
70 |
$28.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
633 |
633 |
$4.46 |
| 3075F |
|
1,259 |
1,245 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
746 |
729 |
$0.00 |
| 1170F |
|
821 |
787 |
$0.00 |
| 3014F |
|
74 |
74 |
$0.00 |
| 3074F |
|
2,954 |
2,902 |
$0.00 |
| 88142 |
|
220 |
220 |
$0.00 |
| 3079F |
|
863 |
848 |
$0.00 |
| 1125F |
|
385 |
372 |
$0.00 |
| 3008F |
|
1,195 |
1,191 |
$0.00 |
| 3080F |
|
263 |
257 |
$0.00 |
| 3017F |
|
192 |
190 |
$0.00 |
| 1126F |
|
225 |
211 |
$0.00 |
| 1220F |
|
105 |
103 |
$0.00 |
| 3044F |
|
55 |
46 |
$0.00 |
| 3072F |
|
18 |
18 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
72 |
72 |
$0.00 |
| 1160F |
|
826 |
792 |
$0.00 |
| 1159F |
|
825 |
791 |
$0.00 |
| 3078F |
|
4,438 |
4,321 |
$0.00 |
| 3077F |
|
1,458 |
1,402 |
$0.00 |
| 3288F |
|
69 |
69 |
$0.00 |
| 1158F |
|
295 |
263 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
72 |
72 |
$0.00 |
| 2022F |
|
45 |
44 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$0.00 |
| 85014 |
|
13 |
13 |
$0.00 |