| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97802 |
|
54 |
54 |
$566.62 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,575 |
7,214 |
$550.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,091 |
6,842 |
$351.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
13 |
$56.92 |
| 3078F |
|
3,061 |
2,566 |
$0.00 |
| 1159F |
|
2,239 |
1,728 |
$0.00 |
| 3725F |
|
1,330 |
1,210 |
$0.00 |
| 1160F |
|
349 |
299 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
146 |
135 |
$0.00 |
| 1158F |
|
33 |
33 |
$0.00 |
| 99442 |
|
96 |
80 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
76 |
76 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
229 |
225 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
14 |
$0.00 |
| 3077F |
|
445 |
423 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$0.00 |
| 1039F |
|
29 |
29 |
$0.00 |
| 3074F |
|
3,220 |
2,668 |
$0.00 |
| 1036F |
|
890 |
715 |
$0.00 |
| 2000F |
|
9,101 |
7,687 |
$0.00 |
| 1125F |
|
2,059 |
1,777 |
$0.00 |
| 3008F |
|
11,462 |
9,401 |
$0.00 |
| 1126F |
|
1,192 |
924 |
$0.00 |
| 3079F |
|
773 |
699 |
$0.00 |
| 3048F |
|
25 |
25 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
14 |
14 |
$0.00 |
| 3075F |
|
226 |
215 |
$0.00 |
| 99441 |
|
286 |
229 |
$0.00 |
| 1000F |
|
41 |
40 |
$0.00 |
| 3080F |
|
62 |
62 |
$0.00 |
| 4000F |
|
41 |
40 |
$0.00 |
| 1157F |
|
24 |
23 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
28 |
$0.00 |
| 3014F |
|
12 |
12 |
$0.00 |
| 3017F |
|
34 |
34 |
$0.00 |
| 1111F |
|
22 |
22 |
$0.00 |