| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,487 |
6,743 |
$330K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,873 |
3,795 |
$130K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,283 |
632 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
170 |
137 |
$10K |
| 81025 |
|
1,980 |
1,581 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
101 |
81 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,674 |
2,881 |
$5K |
| 81000 |
|
2,144 |
1,703 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
82 |
66 |
$3K |
| 81002 |
|
1,670 |
1,359 |
$3K |
| 82948 |
|
1,407 |
1,084 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
83 |
68 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
75 |
53 |
$620.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
25 |
$355.07 |
| 82962 |
|
191 |
150 |
$222.51 |
| 87210 |
|
67 |
56 |
$165.32 |
| 88150 |
|
61 |
43 |
$161.37 |
| 82947 |
|
88 |
69 |
$138.84 |
| 1160F |
|
60 |
43 |
$130.00 |
| 99173 |
|
17 |
14 |
$79.23 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
12 |
$66.14 |