| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,047 |
3,441 |
$191K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,469 |
1,388 |
$80K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
447 |
446 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
261 |
261 |
$34K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
153 |
151 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
69 |
69 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
317 |
303 |
$9K |
| 76981 |
|
79 |
79 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
215 |
206 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
25 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
334 |
294 |
$1K |
| 11721 |
|
63 |
62 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
28 |
22 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
41 |
24 |
$841.45 |
| 96127 |
|
170 |
168 |
$816.74 |
| 99307 |
|
36 |
36 |
$594.23 |
| 76536 |
|
12 |
12 |
$553.81 |
| 91200 |
|
15 |
15 |
$338.95 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
15 |
$270.00 |
| 99349 |
|
13 |
13 |
$234.35 |
| 76770 |
|
12 |
12 |
$217.95 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
64 |
61 |
$212.34 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
31 |
31 |
$112.98 |
| 81002 |
|
147 |
137 |
$15.10 |
| 3078F |
|
1,485 |
1,289 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,212 |
1,875 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
82 |
82 |
$0.00 |
| 3077F |
|
384 |
342 |
$0.00 |
| 2001F |
|
2,260 |
1,880 |
$0.00 |
| 3080F |
|
247 |
229 |
$0.00 |
| 3079F |
|
553 |
513 |
$0.00 |
| 3074F |
|
1,473 |
1,285 |
$0.00 |
| 3075F |
|
414 |
379 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
405 |
368 |
$0.00 |
| 3008F |
|
2,257 |
1,877 |
$0.00 |
| 1170F |
|
87 |
87 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
70 |
70 |
$0.00 |
| 1125F |
|
87 |
87 |
$0.00 |