| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,582 |
1,868 |
$93K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,456 |
3,169 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
576 |
502 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
338 |
318 |
$26K |
| 90651 |
|
826 |
779 |
$18K |
| 90715 |
|
877 |
815 |
$17K |
| 59430 |
|
73 |
54 |
$11K |
| 90686 |
|
681 |
628 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
64 |
$7K |
| 99000 |
|
3,789 |
3,152 |
$7K |
| 90619 |
|
530 |
504 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,710 |
2,322 |
$6K |
| 90734 |
|
244 |
233 |
$4K |
| 90633 |
|
287 |
280 |
$3K |
| 59426 |
|
24 |
15 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
164 |
134 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
133 |
118 |
$1K |
| 90656 |
|
76 |
72 |
$1K |
| 81003 |
|
618 |
579 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| S4993 |
Contraceptive pills for birth control |
166 |
135 |
$1K |
| 90716 |
|
27 |
26 |
$508.04 |
| S0250 |
Comprehensive geriatric assessment and treatment planning performed by assessment team |
156 |
152 |
$500.00 |
| 90710 |
|
27 |
27 |
$306.48 |
| 90670 |
|
28 |
25 |
$279.74 |
| 81025 |
|
38 |
37 |
$247.59 |
| 90713 |
|
20 |
17 |
$217.72 |
| 90707 |
|
19 |
18 |
$217.57 |
| 90744 |
|
16 |
15 |
$196.48 |
| 85018 |
|
67 |
62 |
$135.93 |
| 82947 |
|
31 |
31 |
$114.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
28 |
$42.68 |