| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,623 |
4,923 |
$310K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,611 |
2,842 |
$108K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
674 |
499 |
$52K |
| 99490 |
Ccm add 20min |
606 |
538 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
182 |
182 |
$24K |
| 99215 |
Prolong outpt/office vis |
184 |
180 |
$21K |
| 96156 |
|
446 |
422 |
$16K |
| G9920 |
Screening performed and negative |
488 |
466 |
$13K |
| 99454 |
|
104 |
104 |
$6K |
| 96150 |
|
284 |
280 |
$5K |
| 99457 |
|
104 |
104 |
$5K |
| 90686 |
|
133 |
130 |
$3K |
| 96127 |
|
343 |
315 |
$1K |
| 99458 |
|
17 |
17 |
$835.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
126 |
$562.21 |
| G9919 |
Screening performed and positive and provision of recommendations |
19 |
16 |
$466.69 |
| 90674 |
|
14 |
14 |
$447.20 |
| 93000 |
|
12 |
12 |
$376.23 |
| 99453 |
|
17 |
17 |
$302.09 |
| 81002 |
|
80 |
78 |
$143.01 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
30 |
30 |
$40.00 |