| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,115 |
9,838 |
$997K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,497 |
7,319 |
$481K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
3,946 |
3,106 |
$109K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,338 |
1,195 |
$106K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,215 |
1,972 |
$75K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
999 |
910 |
$57K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,393 |
2,559 |
$32K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,709 |
1,517 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,268 |
1,111 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
199 |
180 |
$18K |
| 90791 |
Psychiatric diagnostic evaluation |
106 |
100 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
147 |
130 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
4,232 |
3,742 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
807 |
645 |
$10K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
121 |
111 |
$6K |
| 90756 |
|
283 |
254 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
139 |
123 |
$4K |
| 90686 |
|
246 |
232 |
$4K |
| 90688 |
|
186 |
176 |
$3K |
| 80305 |
|
217 |
189 |
$2K |
| 99215 |
Prolong outpt/office vis |
16 |
14 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
79 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106 |
103 |
$2K |
| 81002 |
|
479 |
411 |
$1K |
| 90732 |
|
20 |
18 |
$725.00 |
| 90674 |
|
50 |
45 |
$715.98 |
| 99381 |
|
18 |
12 |
$685.51 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
52 |
49 |
$663.18 |
| 0012A |
|
16 |
16 |
$658.88 |
| 90715 |
|
14 |
13 |
$530.64 |
| 0003A |
|
14 |
14 |
$494.16 |
| 81025 |
|
14 |
12 |
$111.93 |
| 90647 |
|
314 |
289 |
$83.37 |
| 91300 |
|
20 |
20 |
$0.00 |
| 91301 |
|
90 |
84 |
$0.00 |
| 81001 |
|
16 |
13 |
$0.00 |