| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,074 |
19,923 |
$1.64M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,935 |
1,917 |
$172K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,172 |
2,098 |
$108K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,369 |
1,357 |
$108K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
554 |
547 |
$60K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,308 |
4,852 |
$49K |
| 36415 |
Collection of venous blood by venipuncture |
9,775 |
9,330 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
1,586 |
1,540 |
$25K |
| 99406 |
|
3,100 |
2,961 |
$24K |
| 93000 |
|
2,580 |
2,533 |
$20K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
2,211 |
2,103 |
$11K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
702 |
686 |
$10K |
| 81000 |
|
1,425 |
1,401 |
$4K |
| G0102 |
Prostate cancer screening; digital rectal examination |
271 |
267 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
34 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
302 |
296 |
$2K |
| 90688 |
|
143 |
143 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,198 |
1,154 |
$1K |
| 90674 |
|
63 |
63 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,258 |
1,171 |
$1K |
| 84703 |
|
205 |
197 |
$864.72 |
| 80305 |
|
125 |
123 |
$777.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
47 |
$455.01 |
| 90686 |
|
32 |
32 |
$361.57 |
| 72100 |
|
21 |
20 |
$333.37 |
| 83037 |
|
45 |
44 |
$311.04 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
667 |
640 |
$235.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,887 |
3,696 |
$230.00 |
| 82044 |
|
43 |
42 |
$112.11 |
| 82570 |
|
43 |
42 |
$95.17 |
| 81001 |
|
41 |
41 |
$63.76 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
108 |
99 |
$61.75 |
| G0008 |
Administration of influenza virus vaccine |
43 |
41 |
$35.00 |
| 3077F |
|
610 |
601 |
$0.00 |
| 3078F |
|
1,061 |
1,038 |
$0.00 |
| 99173 |
|
324 |
322 |
$0.00 |
| 3075F |
|
463 |
457 |
$0.00 |
| 3080F |
|
326 |
319 |
$0.00 |
| 3044F |
|
29 |
29 |
$0.00 |
| 3074F |
|
1,173 |
1,141 |
$0.00 |
| 3079F |
|
839 |
831 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| 3061F |
|
21 |
21 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
16 |
16 |
$0.00 |