| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,602 |
2,479 |
$698K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,356 |
3,889 |
$201K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,470 |
17,494 |
$44K |
| 99401 |
|
1,400 |
1,358 |
$27K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,831 |
1,831 |
$23K |
| 99402 |
|
620 |
619 |
$20K |
| A4267 |
Contraceptive supply, condom, male, each |
5,206 |
5,130 |
$16K |
| 99000 |
|
2,773 |
2,760 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
13 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
236 |
163 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
13 |
$2K |
| 90656 |
|
504 |
500 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
99 |
93 |
$1K |
| 92552 |
|
66 |
66 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
112 |
110 |
$907.97 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
131 |
128 |
$862.93 |
| 81025 |
|
216 |
215 |
$603.79 |
| 0064A |
|
12 |
12 |
$480.00 |
| 90649 |
|
48 |
48 |
$315.00 |
| 93000 |
|
12 |
12 |
$205.52 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
104 |
$162.66 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
40 |
39 |
$141.63 |
| 90733 |
|
27 |
27 |
$135.00 |
| 90715 |
|
16 |
16 |
$108.00 |
| 90707 |
|
12 |
12 |
$108.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
47 |
47 |
$107.33 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$105.73 |
| 81003 |
|
44 |
44 |
$83.93 |
| 90700 |
|
15 |
15 |
$70.20 |
| 83026 |
|
13 |
13 |
$34.71 |
| 90713 |
|
12 |
12 |
$27.00 |
| 90655 |
|
14 |
14 |
$9.00 |