| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
10,788 |
10,340 |
$164K |
| 99188 |
|
1,492 |
1,475 |
$29K |
| 85018 |
|
5,645 |
5,491 |
$11K |
| 90686 |
|
1,313 |
1,313 |
$7K |
| 90710 |
|
183 |
181 |
$4K |
| 90696 |
|
154 |
152 |
$3K |
| 90715 |
|
198 |
198 |
$3K |
| 90734 |
|
468 |
460 |
$2K |
| 90670 |
|
256 |
255 |
$1K |
| 90698 |
|
43 |
43 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
153 |
152 |
$903.76 |
| 90633 |
|
93 |
93 |
$489.58 |
| 81025 |
|
177 |
141 |
$364.64 |
| 90651 |
|
68 |
68 |
$349.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
47 |
$331.46 |
| 90723 |
|
12 |
12 |
$315.09 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
15 |
$266.52 |
| 90707 |
|
15 |
15 |
$240.60 |
| 90648 |
|
27 |
27 |
$135.76 |
| 90672 |
|
16 |
16 |
$129.12 |
| 90716 |
|
16 |
16 |
$85.60 |
| 82962 |
|
23 |
23 |
$67.62 |
| 83655 |
|
21 |
21 |
$66.57 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
29 |
17 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
29 |
17 |
$0.00 |