| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,819 |
4,725 |
$384K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
595 |
535 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
311 |
263 |
$12K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,481 |
1,468 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$3K |
| 87210 |
|
331 |
295 |
$955.97 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
85 |
56 |
$938.54 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
30 |
16 |
$480.08 |
| 81002 |
|
277 |
268 |
$431.42 |
| 87220 |
|
209 |
183 |
$114.91 |
| 36410 |
|
13 |
13 |
$54.01 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
17 |
$0.00 |
| 90912 |
|
19 |
14 |
$0.00 |