| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,584 |
17,384 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,285 |
1,277 |
$31K |
| 97802 |
|
5,169 |
5,144 |
$28K |
| 99384 |
|
260 |
236 |
$19K |
| 92551 |
|
3,250 |
3,240 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
213 |
198 |
$15K |
| 3008F |
|
22,978 |
22,034 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
575 |
566 |
$12K |
| 92552 |
|
1,744 |
1,743 |
$9K |
| 99205 |
Prolong outpt/office vis |
1,012 |
1,010 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
612 |
610 |
$7K |
| 85018 |
|
6,705 |
6,545 |
$7K |
| 99383 |
|
74 |
66 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
105 |
105 |
$4K |
| 36425 |
|
10,153 |
9,904 |
$4K |
| 83655 |
|
381 |
375 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
18 |
$2K |
| 90686 |
|
266 |
261 |
$1K |
| 99173 |
|
849 |
845 |
$1K |
| 90651 |
|
252 |
249 |
$1K |
| 90633 |
|
179 |
178 |
$1K |
| 81002 |
|
3,053 |
3,030 |
$1K |
| 90734 |
|
182 |
182 |
$904.50 |
| 81000 |
|
686 |
685 |
$893.01 |
| 99382 |
|
13 |
13 |
$848.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
115 |
115 |
$818.36 |
| 90688 |
|
135 |
132 |
$748.86 |
| 90715 |
|
108 |
107 |
$690.76 |
| 90713 |
|
85 |
83 |
$589.50 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
83 |
82 |
$457.50 |
| 86580 |
|
146 |
146 |
$391.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
611 |
600 |
$384.93 |
| 99442 |
|
1,426 |
1,407 |
$342.32 |
| 90743 |
|
41 |
41 |
$337.50 |
| 3078F |
|
2,216 |
1,960 |
$306.08 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
13 |
$226.24 |
| 90670 |
|
28 |
28 |
$202.50 |
| 99000 |
|
49 |
48 |
$175.95 |
| 90707 |
|
17 |
17 |
$148.50 |
| 96127 |
|
845 |
844 |
$120.00 |
| 3074F |
|
1,554 |
1,382 |
$116.00 |
| 82962 |
|
2,002 |
1,808 |
$111.53 |
| 90658 |
|
32 |
32 |
$90.92 |
| 90648 |
|
12 |
12 |
$63.00 |
| 3077F |
|
250 |
239 |
$51.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$20.00 |
| 92081 |
|
1,519 |
1,517 |
$7.62 |
| 3079F |
|
65 |
65 |
$6.00 |
| 87081 |
|
24 |
24 |
$4.49 |
| 99441 |
|
414 |
380 |
$0.00 |
| 99172 |
|
87 |
87 |
$0.00 |
| 92499 |
|
74 |
74 |
$0.00 |
| 81005 |
|
45 |
45 |
$0.00 |
| 85032 |
|
90 |
90 |
$0.00 |
| 3075F |
|
51 |
50 |
$0.00 |
| 3044F |
|
16 |
13 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
153 |
153 |
$0.00 |
| 3046F |
|
12 |
12 |
$0.00 |