| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,664 |
3,909 |
$266K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,274 |
6,049 |
$244K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,990 |
2,490 |
$130K |
| 98927 |
|
1,093 |
920 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
213 |
206 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
83 |
83 |
$7K |
| 20553 |
|
165 |
151 |
$3K |
| 99215 |
Prolong outpt/office vis |
30 |
27 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
50 |
$2K |
| 96127 |
|
165 |
140 |
$2K |
| 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) |
120 |
107 |
$505.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
28 |
$255.06 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
291 |
254 |
$217.34 |
| 3078F |
|
1,491 |
1,228 |
$0.00 |
| 3077F |
|
29 |
27 |
$0.00 |
| 3074F |
|
1,710 |
1,425 |
$0.00 |
| 3079F |
|
514 |
473 |
$0.00 |
| 3075F |
|
89 |
84 |
$0.00 |
| 1220F |
|
15 |
15 |
$0.00 |