| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,825 |
1,631 |
$158K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,103 |
1,015 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
166 |
166 |
$38K |
| 99384 |
|
244 |
244 |
$30K |
| 99383 |
|
198 |
197 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
630 |
586 |
$14K |
| 96156 |
|
321 |
320 |
$6K |
| 92551 |
|
513 |
512 |
$5K |
| 90633 |
|
468 |
467 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$4K |
| 90716 |
|
410 |
409 |
$4K |
| 90715 |
|
400 |
400 |
$4K |
| 90649 |
|
384 |
384 |
$3K |
| 90686 |
|
287 |
286 |
$3K |
| 90713 |
|
289 |
289 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$2K |
| 90734 |
|
200 |
200 |
$2K |
| 90707 |
|
192 |
192 |
$2K |
| 96127 |
|
327 |
327 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
108 |
107 |
$1K |
| 86580 |
|
267 |
266 |
$842.13 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$774.50 |
| 90744 |
|
73 |
73 |
$627.75 |
| 96150 |
|
49 |
49 |
$588.96 |
| A4267 |
Contraceptive supply, condom, male, each |
39 |
39 |
$432.40 |
| 90710 |
|
14 |
14 |
$126.00 |
| 90620 |
|
17 |
17 |
$123.75 |
| 90700 |
|
15 |
15 |
$117.00 |
| 90648 |
|
14 |
14 |
$112.50 |
| 81025 |
|
27 |
27 |
$75.60 |