| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,998 |
10,398 |
$763K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,766 |
7,451 |
$630K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
595 |
553 |
$55K |
| 99215 |
Prolong outpt/office vis |
364 |
351 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
221 |
201 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,448 |
1,283 |
$17K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,595 |
2,247 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,423 |
1,745 |
$13K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
948 |
646 |
$12K |
| G0008 |
Administration of influenza virus vaccine |
959 |
561 |
$9K |
| 90756 |
|
2,358 |
776 |
$8K |
| 99401 |
|
329 |
284 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
77 |
$6K |
| 90688 |
|
321 |
319 |
$4K |
| 90656 |
|
167 |
161 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,575 |
1,506 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
987 |
709 |
$3K |
| 90653 |
|
114 |
109 |
$2K |
| 87428 |
|
111 |
83 |
$2K |
| 90694 |
|
117 |
103 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
52 |
49 |
$1K |
| 1125F |
|
923 |
849 |
$878.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$824.62 |
| 1159F |
|
2,501 |
2,012 |
$677.46 |
| 1160F |
|
3,167 |
2,446 |
$670.49 |
| 99406 |
|
68 |
59 |
$603.77 |
| 1126F |
|
623 |
577 |
$592.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
128 |
116 |
$573.03 |
| 3074F |
|
729 |
645 |
$541.62 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
13 |
$451.60 |
| 90658 |
|
28 |
28 |
$431.83 |
| 3075F |
|
686 |
600 |
$401.35 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
217 |
149 |
$201.64 |
| 99490 |
Ccm add 20min |
60 |
55 |
$161.52 |
| 99497 |
|
48 |
36 |
$153.16 |
| 3077F |
|
175 |
164 |
$152.00 |
| 3044F |
|
117 |
110 |
$93.00 |
| 99072 |
|
214 |
196 |
$87.50 |
| 1123F |
|
76 |
64 |
$36.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,035 |
530 |
$34.83 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
112 |
49 |
$17.40 |
| 1170F |
|
14 |
13 |
$9.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
62 |
29 |
$3.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
277 |
147 |
$1.48 |
| 1100F |
|
32 |
32 |
$0.00 |
| 1101F |
|
209 |
155 |
$0.00 |
| 99000 |
|
19 |
14 |
$0.00 |