| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,585 |
13,091 |
$401K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
710 |
666 |
$114K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,039 |
1,947 |
$105K |
| J3490 |
Unclassified drugs |
1,323 |
1,156 |
$85K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
191 |
186 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,703 |
6,162 |
$25K |
| 99401 |
|
912 |
864 |
$19K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
13 |
13 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
814 |
812 |
$11K |
| G9920 |
Screening performed and negative |
964 |
963 |
$8K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
648 |
648 |
$8K |
| 99000 |
|
4,409 |
4,318 |
$8K |
| Z1034 |
|
142 |
103 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
583 |
583 |
$8K |
| 81025 |
|
2,116 |
2,103 |
$6K |
| 92551 |
|
2,045 |
2,038 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
195 |
193 |
$5K |
| 90686 |
|
564 |
562 |
$3K |
| 11981 |
|
25 |
13 |
$3K |
| 0003A |
|
64 |
63 |
$2K |
| 99402 |
|
70 |
67 |
$2K |
| 0002A |
|
49 |
49 |
$2K |
| 99215 |
Prolong outpt/office vis |
681 |
669 |
$2K |
| 90651 |
|
276 |
276 |
$1K |
| 85018 |
|
2,333 |
2,291 |
$1K |
| 85014 |
|
2,276 |
2,216 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
4,210 |
4,154 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
148 |
100 |
$969.01 |
| 0001A |
|
21 |
21 |
$820.00 |
| 90716 |
|
89 |
89 |
$738.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
431 |
427 |
$548.03 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
288 |
285 |
$544.38 |
| 81000 |
|
1,075 |
1,062 |
$483.84 |
| 90734 |
|
58 |
58 |
$435.00 |
| 90633 |
|
63 |
63 |
$432.00 |
| 80061 |
Lipid panel |
275 |
275 |
$317.76 |
| 81005 |
|
1,035 |
1,026 |
$280.44 |
| 96127 |
|
1,016 |
1,011 |
$237.23 |
| 90707 |
|
25 |
25 |
$171.00 |
| 92081 |
|
81 |
81 |
$157.50 |
| 92552 |
|
22 |
22 |
$149.34 |
| 90715 |
|
29 |
29 |
$148.50 |
| 90687 |
|
25 |
25 |
$117.00 |
| 3008F |
|
8,045 |
7,129 |
$116.72 |
| 99173 |
|
1,558 |
1,555 |
$111.03 |
| 99441 |
|
1,013 |
968 |
$100.52 |
| 90744 |
|
12 |
12 |
$72.00 |
| 81002 |
|
45 |
37 |
$66.78 |
| 99442 |
|
780 |
748 |
$59.46 |
| 90670 |
|
13 |
13 |
$54.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
122 |
119 |
$49.01 |
| 3075F |
|
684 |
660 |
$37.50 |
| 90658 |
|
16 |
16 |
$36.00 |
| 83655 |
|
12 |
12 |
$10.05 |
| 3074F |
|
2,459 |
2,236 |
$0.00 |
| 3044F |
|
336 |
312 |
$0.00 |
| 3080F |
|
311 |
294 |
$0.00 |
| 3079F |
|
974 |
927 |
$0.00 |
| 1125F |
|
124 |
119 |
$0.00 |
| 99422 |
|
252 |
237 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$0.00 |
| 1126F |
|
19 |
17 |
$0.00 |
| 99385 |
|
13 |
13 |
$0.00 |
| 3078F |
|
2,707 |
2,449 |
$0.00 |
| 1159F |
|
339 |
328 |
$0.00 |
| 1160F |
|
513 |
489 |
$0.00 |
| 3077F |
|
1,115 |
1,012 |
$0.00 |
| 3045F |
|
30 |
28 |
$0.00 |
| 99421 |
|
81 |
75 |
$0.00 |
| 99387 |
|
12 |
12 |
$0.00 |
| 99423 |
|
33 |
29 |
$0.00 |