| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,402 |
1,313 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,011 |
947 |
$36K |
| Z1034 |
|
417 |
275 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
67 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
178 |
177 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
130 |
$6K |
| 92551 |
|
577 |
575 |
$6K |
| 99000 |
|
1,465 |
1,331 |
$5K |
| 96150 |
|
219 |
217 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
202 |
191 |
$4K |
| Z6410 |
|
205 |
142 |
$3K |
| 97803 |
|
132 |
132 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$3K |
| Z6304 |
|
157 |
115 |
$2K |
| Z6400 |
|
114 |
95 |
$2K |
| 99173 |
|
597 |
595 |
$2K |
| 81002 |
|
578 |
557 |
$1K |
| Z6406 |
|
106 |
80 |
$1K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
76 |
76 |
$966.72 |
| Z6204 |
|
73 |
55 |
$661.63 |
| 81000 |
|
192 |
192 |
$502.71 |
| 86580 |
|
143 |
141 |
$486.82 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
37 |
$472.35 |
| 85018 |
|
149 |
149 |
$312.39 |
| 93000 |
|
12 |
12 |
$287.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
58 |
$200.70 |
| 81025 |
|
71 |
69 |
$189.28 |
| 96127 |
|
24 |
24 |
$115.44 |
| 85014 |
|
27 |
27 |
$59.01 |
| 3078F |
|
164 |
164 |
$0.00 |
| 41899 |
Unlisted procedure, dentoalveolar structures |
51 |
51 |
$0.00 |
| 3074F |
|
149 |
149 |
$0.00 |