| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,158 |
14,143 |
$981K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,273 |
491 |
$122K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,650 |
2,167 |
$98K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,587 |
5,063 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
643 |
623 |
$54K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
429 |
420 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
182 |
178 |
$18K |
| 77080 |
|
374 |
362 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
141 |
30 |
$8K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,625 |
2,099 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
80 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
65 |
62 |
$4K |
| 99397 |
|
39 |
37 |
$3K |
| 96161 |
|
1,186 |
946 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
237 |
84 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,115 |
1,076 |
$2K |
| 97803 |
|
66 |
66 |
$2K |
| 20553 |
|
55 |
44 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
152 |
142 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
44 |
42 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,182 |
735 |
$2K |
| 90688 |
|
105 |
102 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,214 |
1,012 |
$947.44 |
| 90686 |
|
77 |
77 |
$934.32 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
21 |
20 |
$875.60 |
| 76770 |
|
12 |
12 |
$827.28 |
| 99401 |
|
44 |
27 |
$772.37 |
| G0008 |
Administration of influenza virus vaccine |
77 |
77 |
$620.21 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
48 |
46 |
$525.00 |
| 99051 |
|
685 |
590 |
$512.00 |
| 94760 |
|
1,285 |
997 |
$189.01 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
122 |
120 |
$174.13 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
542 |
264 |
$63.86 |
| 81002 |
|
35 |
34 |
$32.33 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
13 |
$29.95 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
288 |
267 |
$23.58 |
| 99406 |
|
14 |
14 |
$16.48 |
| 3077F |
|
100 |
90 |
$14.00 |
| 3080F |
|
67 |
60 |
$13.00 |
| 3008F |
|
1,888 |
1,397 |
$7.00 |
| J3590 |
Unclassified biologics |
19 |
13 |
$0.00 |