| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99201 |
|
1,224 |
1,222 |
$153K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
251 |
251 |
$47K |
| 92552 |
|
3,057 |
3,053 |
$24K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,539 |
1,539 |
$20K |
| A4267 |
Contraceptive supply, condom, male, each |
1,394 |
1,394 |
$14K |
| G9920 |
Screening performed and negative |
1,005 |
991 |
$11K |
| 92081 |
|
2,364 |
2,343 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
759 |
757 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
652 |
652 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,409 |
2,264 |
$5K |
| 99000 |
|
1,482 |
1,480 |
$5K |
| 85018 |
|
969 |
966 |
$1K |
| 81002 |
|
1,834 |
1,832 |
$1K |
| 90688 |
|
203 |
203 |
$857.00 |
| 83655 |
|
172 |
172 |
$691.11 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,652 |
1,555 |
$583.43 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
145 |
145 |
$571.91 |
| 0071A |
|
27 |
27 |
$560.00 |
| 81000 |
|
615 |
611 |
$341.70 |
| 90686 |
|
42 |
42 |
$162.00 |
| 90649 |
|
24 |
24 |
$102.60 |
| 90619 |
|
25 |
25 |
$72.00 |
| 90658 |
|
52 |
52 |
$64.80 |
| 90656 |
|
12 |
12 |
$41.40 |
| 90620 |
|
12 |
12 |
$34.20 |
| 97802 |
|
248 |
248 |
$30.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
367 |
363 |
$22.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
156 |
150 |
$13.84 |
| 3078F |
|
1,309 |
1,206 |
$0.00 |
| 4004F |
|
434 |
434 |
$0.00 |
| 99188 |
|
212 |
211 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$0.00 |
| 3008F |
|
1,726 |
1,608 |
$0.00 |
| 99441 |
|
468 |
440 |
$0.00 |
| 3074F |
|
1,344 |
1,236 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
246 |
246 |
$0.00 |
| 96127 |
|
71 |
71 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
110 |
110 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
46 |
46 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |