| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,102 |
15,926 |
$804K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
958 |
892 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,166 |
1,064 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,014 |
970 |
$58K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
572 |
540 |
$39K |
| 95250 |
|
599 |
571 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
482 |
440 |
$29K |
| 94060 |
|
955 |
872 |
$29K |
| 95251 |
|
589 |
561 |
$13K |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
620 |
262 |
$7K |
| 94664 |
|
1,058 |
891 |
$6K |
| 90686 |
|
180 |
167 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
252 |
228 |
$1K |
| 82043 |
|
408 |
322 |
$1K |
| 90674 |
|
46 |
41 |
$1K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
43 |
39 |
$982.21 |
| 96160 |
|
59 |
59 |
$768.75 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
28 |
$693.23 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
146 |
111 |
$458.72 |
| 99490 |
Ccm add 20min |
77 |
74 |
$202.43 |
| 82044 |
|
90 |
82 |
$191.46 |
| 80305 |
|
19 |
12 |
$136.88 |
| 3077F |
|
27 |
25 |
$90.00 |
| 3080F |
|
23 |
21 |
$85.00 |
| 3079F |
|
24 |
22 |
$65.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
89 |
75 |
$64.39 |
| 3074F |
|
23 |
20 |
$60.00 |
| 3078F |
|
18 |
16 |
$55.00 |
| 3075F |
|
15 |
14 |
$50.00 |
| 94760 |
|
830 |
712 |
$11.34 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
331 |
242 |
$10.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
223 |
199 |
$9.53 |
| 83037 |
|
545 |
502 |
$8.74 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
41 |
35 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
15 |
15 |
$0.00 |
| 3061F |
|
103 |
98 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
24 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
19 |
$0.00 |
| 3060F |
|
223 |
206 |
$0.00 |