| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,521 |
5,991 |
$523K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,159 |
7,206 |
$432K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
992 |
810 |
$81K |
| 36425 |
|
2,372 |
983 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,008 |
867 |
$75K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
930 |
787 |
$75K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
856 |
609 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
612 |
525 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,895 |
1,644 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
881 |
719 |
$22K |
| 82951 |
|
1,393 |
698 |
$17K |
| 0502F |
|
368 |
221 |
$16K |
| 99383 |
|
67 |
58 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
99 |
75 |
$6K |
| 99384 |
|
48 |
32 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
190 |
66 |
$5K |
| 90651 |
|
276 |
228 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
54 |
49 |
$3K |
| 90734 |
|
270 |
216 |
$3K |
| 96127 |
|
182 |
177 |
$3K |
| 90670 |
|
241 |
203 |
$2K |
| 0031A |
|
42 |
40 |
$2K |
| 90633 |
|
124 |
105 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
14 |
$1K |
| 0011A |
|
21 |
19 |
$884.94 |
| 90686 |
|
54 |
52 |
$619.51 |
| 90710 |
|
31 |
24 |
$497.26 |
| 90658 |
|
49 |
37 |
$475.04 |
| 90715 |
|
31 |
25 |
$397.42 |
| 81002 |
|
87 |
59 |
$189.80 |
| 99490 |
Ccm add 20min |
18 |
16 |
$170.30 |
| 82962 |
|
82 |
56 |
$118.76 |
| 3078F |
|
13 |
13 |
$0.00 |
| 3074F |
|
14 |
14 |
$0.00 |