| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
3,974 |
2,347 |
$102K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,067 |
6,588 |
$95K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,363 |
4,975 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,149 |
3,039 |
$72K |
| 96127 |
|
4,244 |
4,168 |
$60K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,014 |
547 |
$55K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,606 |
1,486 |
$23K |
| 90670 |
|
744 |
711 |
$18K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
645 |
448 |
$17K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
641 |
444 |
$17K |
| 90686 |
|
1,063 |
979 |
$14K |
| 90651 |
|
309 |
291 |
$12K |
| 81025 |
|
1,754 |
1,048 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
147 |
120 |
$7K |
| 90633 |
|
630 |
608 |
$7K |
| 90734 |
|
428 |
414 |
$7K |
| 90723 |
|
516 |
489 |
$7K |
| 90647 |
|
605 |
587 |
$5K |
| 90715 |
|
314 |
302 |
$5K |
| 90681 |
|
299 |
293 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121 |
98 |
$4K |
| 90619 |
|
194 |
183 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
67 |
46 |
$3K |
| 87210 |
|
512 |
360 |
$2K |
| 90716 |
|
77 |
72 |
$2K |
| 90707 |
|
99 |
93 |
$2K |
| 86580 |
|
352 |
263 |
$2K |
| 90700 |
|
151 |
148 |
$2K |
| 90710 |
|
124 |
119 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$1K |
| 90674 |
|
44 |
43 |
$921.54 |
| 90696 |
|
47 |
42 |
$653.35 |
| 90656 |
|
42 |
38 |
$630.00 |
| 90713 |
|
31 |
31 |
$291.58 |
| 90685 |
|
26 |
22 |
$269.80 |