| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,030 |
19,435 |
$1.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,162 |
3,517 |
$331K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,772 |
2,400 |
$239K |
| 99385 |
|
1,909 |
1,624 |
$164K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,435 |
2,136 |
$155K |
| 99386 |
|
916 |
773 |
$91K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
1,120 |
1,006 |
$86K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,725 |
1,844 |
$53K |
| 99401 |
|
6,902 |
4,851 |
$40K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
163 |
133 |
$39K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,649 |
1,029 |
$22K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,514 |
3,032 |
$16K |
| 80305 |
|
2,169 |
1,831 |
$13K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,436 |
2,955 |
$13K |
| 93000 |
|
686 |
621 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
342 |
288 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,533 |
1,300 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
48 |
39 |
$4K |
| 99058 |
|
766 |
576 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
25 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
52 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
74 |
57 |
$1K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
110 |
88 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
44 |
43 |
$1K |
| 90688 |
|
93 |
90 |
$1K |
| 81003 |
|
1,519 |
1,343 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
208 |
181 |
$779.02 |
| 90716 |
|
14 |
14 |
$778.24 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
50 |
39 |
$673.48 |
| 81025 |
|
159 |
142 |
$648.19 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
32 |
32 |
$626.49 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
126 |
116 |
$547.47 |
| 90715 |
|
15 |
14 |
$399.58 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
42 |
41 |
$394.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
180 |
161 |
$321.13 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
17 |
$289.53 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
16 |
$159.94 |
| 90668 |
|
19 |
15 |
$133.32 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17 |
13 |
$70.32 |
| 96127 |
|
44 |
30 |
$19.28 |
| 80306 |
|
66 |
58 |
$10.01 |
| 99000 |
|
462 |
394 |
$0.00 |
| 96160 |
|
44 |
30 |
$0.00 |
| 99497 |
|
62 |
58 |
$0.00 |
| 99080 |
|
78 |
65 |
$0.00 |