| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,962 |
9,528 |
$1.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,674 |
6,324 |
$821K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,518 |
1,517 |
$168K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
855 |
852 |
$103K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
411 |
411 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,562 |
2,107 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
329 |
329 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
608 |
597 |
$36K |
| 99051 |
|
2,514 |
2,283 |
$17K |
| 99385 |
|
127 |
127 |
$16K |
| 90756 |
|
476 |
476 |
$13K |
| 93000 |
|
838 |
833 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
558 |
552 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
54 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
55 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
4,804 |
4,700 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
152 |
139 |
$2K |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
850 |
648 |
$2K |
| 87110 |
|
93 |
91 |
$1K |
| 90716 |
|
141 |
141 |
$740.00 |
| 83013 |
|
13 |
12 |
$644.33 |
| 99050 |
|
83 |
69 |
$615.80 |
| 99442 |
|
13 |
12 |
$535.21 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
642 |
507 |
$496.65 |
| 81002 |
|
137 |
133 |
$341.00 |
| 90656 |
|
233 |
232 |
$297.63 |
| 90707 |
|
13 |
12 |
$208.66 |
| 90461 |
|
40 |
40 |
$135.28 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
79 |
75 |
$126.85 |
| 83014 |
|
25 |
24 |
$116.34 |
| 81000 |
|
25 |
25 |
$53.63 |
| 99000 |
|
61 |
58 |
$4.80 |
| 1000F |
|
367 |
367 |
$0.02 |
| 1036F |
|
312 |
312 |
$0.02 |
| 3008F |
|
364 |
364 |
$0.02 |
| 3016F |
|
368 |
368 |
$0.02 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
365 |
365 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
292 |
246 |
$0.00 |
| 90686 |
|
254 |
254 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
981 |
981 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,532 |
1,532 |
$0.00 |
| 90633 |
|
76 |
76 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |