| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,503 |
17,248 |
$80K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,517 |
3,438 |
$46K |
| S9083 |
Global fee urgent care centers |
1,252 |
1,205 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,530 |
5,002 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
576 |
570 |
$2K |
| 97802 |
|
90 |
90 |
$1K |
| 90686 |
|
140 |
138 |
$967.02 |
| 99441 |
|
133 |
126 |
$671.59 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
91 |
89 |
$485.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
147 |
147 |
$430.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
50 |
$412.50 |
| 92552 |
|
198 |
197 |
$213.39 |
| 3008F |
|
6,544 |
6,011 |
$142.27 |
| 90688 |
|
19 |
19 |
$126.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
110 |
$94.48 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
92 |
92 |
$90.00 |
| 99442 |
|
43 |
42 |
$78.31 |
| 88150 |
|
15 |
15 |
$70.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
299 |
286 |
$33.75 |
| 1036F |
|
70 |
70 |
$7.68 |
| 81002 |
|
73 |
72 |
$5.63 |
| 99051 |
|
830 |
797 |
$0.00 |
| 3077F |
|
743 |
707 |
$0.00 |
| 3078F |
|
3,863 |
3,606 |
$0.00 |
| 92081 |
|
119 |
119 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
71 |
69 |
$0.00 |
| 1160F |
|
88 |
87 |
$0.00 |
| 1033F |
|
27 |
27 |
$0.00 |
| 3015F |
|
69 |
69 |
$0.00 |
| 99173 |
|
45 |
45 |
$0.00 |
| 3288F |
|
27 |
27 |
$0.00 |
| 97803 |
|
87 |
86 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
20 |
$0.00 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
12 |
12 |
$0.00 |
| 1000F |
|
390 |
388 |
$0.00 |
| 3074F |
|
4,435 |
4,117 |
$0.00 |
| 3075F |
|
554 |
540 |
$0.00 |
| 3079F |
|
1,649 |
1,591 |
$0.00 |
| 96127 |
|
26 |
26 |
$0.00 |
| 3080F |
|
208 |
199 |
$0.00 |
| 1170F |
|
27 |
27 |
$0.00 |
| 1126F |
|
26 |
25 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
31 |
$0.00 |