| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
2,082 |
1,343 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,097 |
1,812 |
$53K |
| 99215 |
Prolong outpt/office vis |
417 |
417 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
489 |
486 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
535 |
511 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
171 |
168 |
$11K |
| 59430 |
|
211 |
172 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
620 |
601 |
$7K |
| 0500F |
|
316 |
285 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
39 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
64 |
64 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
255 |
251 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
17 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$529.92 |
| 96127 |
|
58 |
58 |
$218.34 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$204.16 |
| 3074F |
|
13 |
13 |
$50.00 |
| 3351F |
|
114 |
114 |
$0.00 |
| 0502F |
|
196 |
150 |
$0.00 |