| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,885 |
5,407 |
$869K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,610 |
7,031 |
$665K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,091 |
899 |
$116K |
| 93922 |
|
1,344 |
1,209 |
$109K |
| 20610 |
|
1,642 |
1,279 |
$94K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
774 |
684 |
$51K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
423 |
339 |
$41K |
| 76775 |
|
445 |
400 |
$23K |
| 99442 |
|
758 |
624 |
$19K |
| 99406 |
|
1,102 |
548 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
49 |
$7K |
| 0011A |
|
131 |
118 |
$5K |
| 0013A |
|
125 |
111 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
185 |
181 |
$4K |
| 0134A |
|
75 |
65 |
$2K |
| 0012A |
|
60 |
58 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,601 |
1,264 |
$2K |
| 0064A |
|
54 |
53 |
$2K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
39 |
32 |
$1K |
| 0124A |
|
34 |
27 |
$920.00 |
| 99408 |
|
251 |
112 |
$772.80 |
| 90674 |
|
186 |
182 |
$408.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
12 |
$7.92 |
| 3074F |
|
109 |
80 |
$2.00 |
| 3078F |
|
105 |
76 |
$2.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
30 |
28 |
$0.00 |
| 91301 |
|
100 |
96 |
$0.00 |
| 3049F |
|
14 |
13 |
$0.00 |
| 99490 |
Ccm add 20min |
98 |
98 |
$0.00 |