| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,611 |
6,371 |
$396K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,477 |
4,029 |
$361K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
834 |
715 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
556 |
446 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
514 |
467 |
$24K |
| 96127 |
|
480 |
467 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
807 |
609 |
$10K |
| 99000 |
|
277 |
215 |
$6K |
| 99383 |
|
66 |
57 |
$6K |
| 99384 |
|
59 |
40 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
60 |
45 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
39 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
73 |
$3K |
| 90619 |
|
159 |
138 |
$3K |
| 90651 |
|
150 |
122 |
$2K |
| 90715 |
|
155 |
100 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
75 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$1K |
| 80305 |
|
103 |
86 |
$918.91 |
| 90686 |
|
60 |
53 |
$836.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
34 |
31 |
$496.40 |
| 81002 |
|
169 |
135 |
$425.10 |
| 90656 |
|
19 |
14 |
$377.13 |
| 90620 |
|
21 |
13 |
$330.16 |
| 90723 |
|
14 |
14 |
$233.94 |
| 90710 |
|
12 |
12 |
$200.52 |
| 36415 |
Collection of venous blood by venipuncture |
571 |
526 |
$124.37 |
| 90734 |
|
17 |
15 |
$108.80 |
| 3008F |
|
7,052 |
5,725 |
$0.00 |
| 3074F |
|
1,530 |
1,091 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
55 |
$0.00 |
| 3075F |
|
15 |
14 |
$0.00 |