| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,576 |
6,931 |
$236K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,560 |
1,467 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
388 |
377 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
245 |
242 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
272 |
266 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
285 |
265 |
$5K |
| 99386 |
|
42 |
41 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
52 |
52 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,474 |
1,348 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
100 |
77 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
139 |
131 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
69 |
69 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 99385 |
|
18 |
12 |
$666.26 |
| 93000 |
|
75 |
71 |
$590.93 |
| 90461 |
|
27 |
25 |
$568.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$49.08 |
| 81025 |
|
14 |
12 |
$20.31 |
| 3078F |
|
40 |
29 |
$0.00 |
| 1159F |
|
31 |
16 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13 |
12 |
$0.00 |
| 1160F |
|
31 |
16 |
$0.00 |
| S0612 |
Annual gynecological examination, established patient |
41 |
41 |
$0.00 |
| 3074F |
|
16 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
15 |
14 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |