| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,637 |
5,526 |
$278K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,246 |
3,503 |
$128K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
660 |
571 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
441 |
367 |
$20K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
394 |
247 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
318 |
246 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
923 |
721 |
$10K |
| 81025 |
|
1,792 |
1,226 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
339 |
276 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
108 |
91 |
$5K |
| 90674 |
|
367 |
324 |
$5K |
| 81002 |
|
2,258 |
1,857 |
$3K |
| 99385 |
|
61 |
54 |
$3K |
| 82962 |
|
1,478 |
1,162 |
$2K |
| 90656 |
|
185 |
143 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
116 |
105 |
$2K |
| 99386 |
|
25 |
24 |
$2K |
| 99215 |
Prolong outpt/office vis |
35 |
32 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
19 |
14 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 69210 |
|
18 |
15 |
$310.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
449 |
213 |
$266.79 |
| 36415 |
Collection of venous blood by venipuncture |
138 |
123 |
$187.82 |
| 99173 |
|
64 |
58 |
$52.87 |
| 81005 |
|
45 |
36 |
$13.84 |
| 90651 |
|
28 |
26 |
$0.06 |
| 91305 |
|
41 |
36 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
12 |
$0.00 |