| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,394 |
1,208 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
774 |
611 |
$855.34 |
| 90700 |
|
13 |
13 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
686 |
397 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
318 |
209 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
415 |
257 |
$0.00 |
| 90670 |
|
88 |
71 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
40 |
39 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
112 |
56 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
64 |
$0.00 |
| 81003 |
|
60 |
56 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 90734 |
|
34 |
34 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
90 |
67 |
$0.00 |
| 81025 |
|
59 |
58 |
$0.00 |
| 90715 |
|
23 |
23 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
18 |
17 |
$0.00 |
| 90633 |
|
21 |
21 |
$0.00 |
| 0502F |
|
36 |
20 |
$0.00 |
| 99173 |
|
44 |
23 |
$0.00 |
| 90686 |
|
334 |
324 |
$0.00 |
| 90688 |
|
85 |
85 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
26 |
$0.00 |
| 82962 |
|
42 |
42 |
$0.00 |
| 3044F |
|
71 |
71 |
$0.00 |
| 90651 |
|
74 |
73 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
20 |
20 |
$0.00 |
| 90647 |
|
46 |
46 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90680 |
|
18 |
18 |
$0.00 |
| 90723 |
|
37 |
33 |
$0.00 |
| 92551 |
|
42 |
22 |
$0.00 |
| 96127 |
|
48 |
48 |
$0.00 |
| 90619 |
|
28 |
14 |
$0.00 |
| 90620 |
|
19 |
19 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$0.00 |