| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,580 |
1,320 |
$55K |
| 99439 |
|
109 |
109 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
117 |
98 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
267 |
239 |
$5K |
| 99458 |
|
157 |
157 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
45 |
$3K |
| 99457 |
|
156 |
156 |
$2K |
| 99490 |
Ccm add 20min |
122 |
122 |
$2K |
| 99401 |
|
47 |
41 |
$572.24 |
| 93000 |
|
153 |
135 |
$434.60 |
| 99454 |
|
15 |
12 |
$398.62 |
| 81002 |
|
430 |
377 |
$290.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$146.40 |
| 90756 |
|
46 |
46 |
$30.82 |
| 82962 |
|
15 |
13 |
$11.12 |
| 3075F |
|
19 |
13 |
$0.00 |
| 3008F |
|
112 |
87 |
$0.00 |
| 3079F |
|
21 |
16 |
$0.00 |
| 3074F |
|
58 |
49 |
$0.00 |
| 3080F |
|
17 |
13 |
$0.00 |
| 1111F |
|
27 |
20 |
$0.00 |
| 1159F |
|
113 |
92 |
$0.00 |
| 3077F |
|
15 |
12 |
$0.00 |
| 1160F |
|
85 |
73 |
$0.00 |
| 3078F |
|
55 |
48 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
32 |
23 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
12 |
$0.00 |