| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
965 |
923 |
$172K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,415 |
1,836 |
$168K |
| 99383 |
|
521 |
461 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
211 |
106 |
$20K |
| 99384 |
|
136 |
120 |
$15K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
974 |
974 |
$12K |
| 92552 |
|
1,179 |
1,178 |
$10K |
| 99382 |
|
45 |
40 |
$4K |
| 99000 |
|
1,308 |
1,303 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
905 |
904 |
$3K |
| 90658 |
|
327 |
324 |
$3K |
| 99381 |
|
33 |
32 |
$2K |
| D1206 |
Topical application of fluoride varnish |
107 |
107 |
$2K |
| 90715 |
|
161 |
149 |
$2K |
| 90707 |
|
226 |
226 |
$2K |
| 81000 |
|
1,033 |
1,032 |
$2K |
| 90713 |
|
196 |
196 |
$2K |
| 90716 |
|
200 |
200 |
$2K |
| 85018 |
|
1,193 |
1,182 |
$2K |
| 90700 |
|
212 |
212 |
$2K |
| Z1034 |
|
16 |
12 |
$876.33 |
| 90670 |
|
93 |
93 |
$621.00 |
| 90648 |
|
78 |
78 |
$558.00 |
| 90734 |
|
79 |
78 |
$504.00 |
| 81025 |
|
177 |
177 |
$482.38 |
| 90649 |
|
51 |
46 |
$279.00 |
| 90744 |
|
25 |
25 |
$225.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
13 |
$153.93 |
| 90633 |
|
24 |
24 |
$153.00 |
| 90681 |
|
19 |
19 |
$144.00 |
| 90723 |
|
15 |
15 |
$126.00 |
| 3008F |
|
60 |
60 |
$60.00 |
| 3074F |
|
44 |
44 |
$35.00 |
| 3078F |
|
44 |
44 |
$30.00 |
| 92060 |
|
130 |
130 |
$3.79 |
| 3725F |
|
42 |
42 |
$0.00 |