| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,652 |
12,490 |
$10K |
| 98940 |
|
3,299 |
2,202 |
$9K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
66 |
54 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
979 |
921 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,679 |
1,506 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
292 |
292 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
294 |
294 |
$1K |
| S9449 |
Weight management classes, non-physician provider, per session |
35 |
30 |
$1K |
| 90715 |
|
198 |
195 |
$804.61 |
| 90670 |
|
145 |
141 |
$778.00 |
| 90688 |
|
461 |
456 |
$636.31 |
| 59425 |
|
15 |
12 |
$517.08 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
43 |
$360.00 |
| 71046 |
Radiologic examination, chest; 2 views |
365 |
320 |
$357.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
127 |
122 |
$354.46 |
| 90686 |
|
658 |
640 |
$261.00 |
| 85018 |
|
1,229 |
1,215 |
$183.14 |
| 81003 |
|
2,448 |
2,137 |
$144.78 |
| 71020 |
|
27 |
14 |
$141.42 |
| 81025 |
|
937 |
845 |
$91.91 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
165 |
165 |
$71.01 |
| 99173 |
|
626 |
624 |
$65.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
84 |
$62.84 |
| 90651 |
|
42 |
40 |
$54.00 |
| 90734 |
|
12 |
12 |
$36.00 |
| 90674 |
|
22 |
20 |
$24.00 |
| 86580 |
|
101 |
100 |
$10.08 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
69 |
$0.00 |
| 99499 |
|
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
184 |
183 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
17 |
17 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
59 |
43 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
27 |
$0.00 |
| 92551 |
|
444 |
441 |
$0.00 |
| 0011A |
|
12 |
12 |
$0.00 |
| 92227 |
|
32 |
32 |
$0.00 |
| 82962 |
|
14 |
13 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
27 |
25 |
$0.00 |
| 90647 |
|
56 |
43 |
$0.00 |
| 96156 |
|
52 |
44 |
$0.00 |
| 93000 |
|
24 |
24 |
$0.00 |
| 91301 |
|
20 |
19 |
$0.00 |