| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,426 |
5,864 |
$632K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,933 |
2,704 |
$215K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,208 |
1,184 |
$124K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,210 |
1,191 |
$117K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
159 |
158 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
3,694 |
3,519 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
115 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
87 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
78 |
$7K |
| 96127 |
|
1,855 |
1,827 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
299 |
292 |
$4K |
| 90673 |
|
64 |
63 |
$4K |
| 99441 |
|
86 |
79 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
223 |
219 |
$3K |
| 90686 |
|
196 |
193 |
$3K |
| 99215 |
Prolong outpt/office vis |
25 |
24 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
206 |
102 |
$2K |
| 92588 |
|
61 |
61 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 81003 |
|
680 |
630 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
51 |
$599.62 |
| 99000 |
|
1,425 |
1,301 |
$399.35 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
392 |
382 |
$230.29 |
| 93000 |
|
29 |
27 |
$219.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
636 |
621 |
$73.24 |
| 3074F |
|
5,286 |
4,741 |
$9.41 |
| 3078F |
|
3,608 |
3,315 |
$6.84 |
| 3079F |
|
3,663 |
3,411 |
$6.41 |
| 1034F |
|
3,416 |
2,966 |
$5.69 |
| 3075F |
|
1,612 |
1,551 |
$3.06 |
| 3077F |
|
1,019 |
945 |
$1.76 |
| 3080F |
|
698 |
659 |
$0.87 |
| 4000F |
|
319 |
317 |
$0.63 |
| 1030F |
|
372 |
359 |
$0.56 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
565 |
549 |
$0.15 |
| G9919 |
Screening performed and positive and provision of recommendations |
926 |
904 |
$0.00 |
| G9920 |
Screening performed and negative |
760 |
751 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
22 |
20 |
$0.00 |
| 90461 |
|
73 |
72 |
$0.00 |
| 3353F |
|
768 |
754 |
$0.00 |
| 3351F |
|
608 |
586 |
$0.00 |
| 97802 |
|
556 |
541 |
$0.00 |
| 3352F |
|
607 |
598 |
$0.00 |
| 1036F |
|
4,558 |
4,020 |
$0.00 |
| 3354F |
|
119 |
115 |
$0.00 |