| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,573 |
11,135 |
$558K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,837 |
7,082 |
$458K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,934 |
1,902 |
$184K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,059 |
2,726 |
$79K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
833 |
814 |
$74K |
| 93925 |
|
354 |
339 |
$48K |
| 99397 |
|
432 |
425 |
$22K |
| 93922 |
|
350 |
335 |
$14K |
| 96160 |
|
4,692 |
4,583 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
135 |
128 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
3,795 |
3,647 |
$10K |
| 99385 |
|
93 |
93 |
$9K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
672 |
616 |
$4K |
| 99386 |
|
27 |
27 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
224 |
184 |
$3K |
| 81002 |
|
1,203 |
1,096 |
$3K |
| 99497 |
|
192 |
187 |
$2K |
| 76770 |
|
50 |
44 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
104 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
28 |
$2K |
| 90686 |
|
180 |
136 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
621 |
556 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
14 |
$910.19 |
| 93880 |
|
13 |
13 |
$580.33 |
| 0012A |
|
51 |
41 |
$574.47 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
48 |
39 |
$524.40 |
| 90756 |
|
53 |
42 |
$478.14 |
| 0011A |
|
49 |
40 |
$240.04 |
| 94664 |
|
18 |
14 |
$172.71 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
82 |
58 |
$37.32 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
37 |
27 |
$20.88 |
| A7015 |
Aerosol mask, used with dme nebulizer |
39 |
27 |
$16.51 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
40 |
26 |
$3.66 |
| 91301 |
|
55 |
49 |
$0.00 |
| 94761 |
|
52 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
54 |
48 |
$0.00 |
| 1111F |
|
18 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
260 |
190 |
$0.00 |
| 96161 |
|
19 |
15 |
$0.00 |
| 99070 |
|
36 |
32 |
$0.00 |
| 96127 |
|
16 |
16 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23 |
21 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
283 |
200 |
$0.00 |
| 1160F |
|
26 |
25 |
$0.00 |
| 1159F |
|
26 |
25 |
$0.00 |