| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,212 |
2,186 |
$165K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,562 |
5,344 |
$154K |
| 99205 |
Prolong outpt/office vis |
1,052 |
1,051 |
$128K |
| 86480 |
|
1,368 |
1,340 |
$90K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,740 |
2,675 |
$60K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,588 |
3,460 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
906 |
876 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,071 |
1,020 |
$42K |
| 90686 |
|
1,830 |
1,816 |
$35K |
| 90739 |
|
241 |
241 |
$29K |
| 86701 |
|
2,670 |
2,656 |
$26K |
| 91322 |
|
211 |
211 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
181 |
180 |
$19K |
| 90714 |
|
668 |
666 |
$17K |
| 90746 |
|
228 |
227 |
$14K |
| 90480 |
|
361 |
359 |
$14K |
| 90715 |
|
875 |
858 |
$13K |
| 90716 |
|
499 |
496 |
$13K |
| 81025 |
|
1,524 |
1,489 |
$12K |
| 81002 |
|
3,217 |
3,201 |
$10K |
| 92551 |
|
1,527 |
1,523 |
$8K |
| 86689 |
|
389 |
379 |
$8K |
| 99173 |
|
1,420 |
1,411 |
$7K |
| 99215 |
Prolong outpt/office vis |
79 |
76 |
$7K |
| 87164 |
|
681 |
672 |
$7K |
| 90713 |
|
362 |
360 |
$7K |
| 91321 |
|
142 |
141 |
$3K |
| 0002A |
|
63 |
62 |
$2K |
| 0071A |
|
64 |
63 |
$2K |
| 86580 |
|
297 |
282 |
$2K |
| 87210 |
|
375 |
361 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
107 |
104 |
$2K |
| 0072A |
|
42 |
42 |
$2K |
| 90707 |
|
120 |
120 |
$1K |
| 0001A |
|
33 |
30 |
$1K |
| 90660 |
|
85 |
78 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$880.56 |
| 0003A |
|
20 |
20 |
$640.00 |
| 90670 |
|
245 |
245 |
$551.82 |
| 90734 |
|
435 |
428 |
$476.96 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$314.28 |
| 97803 |
|
30 |
26 |
$222.40 |
| 90651 |
|
158 |
154 |
$208.41 |
| 91300 |
|
198 |
185 |
$160.34 |
| 90633 |
|
566 |
561 |
$0.00 |
| 90710 |
|
305 |
295 |
$0.00 |
| 90700 |
|
56 |
56 |
$0.00 |
| 90696 |
|
259 |
249 |
$0.00 |
| 91307 |
|
179 |
177 |
$0.00 |
| 91315 |
|
21 |
19 |
$0.00 |
| 90647 |
|
114 |
114 |
$0.00 |
| 90723 |
|
79 |
79 |
$0.00 |
| 90744 |
|
14 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
47 |
$0.00 |