| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,531 |
6,219 |
$354K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,971 |
1,909 |
$141K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
807 |
793 |
$63K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,039 |
2,898 |
$48K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
311 |
307 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
543 |
524 |
$18K |
| 94010 |
|
822 |
807 |
$13K |
| 82044 |
|
2,935 |
2,867 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,520 |
1,471 |
$10K |
| 96127 |
|
2,049 |
2,000 |
$10K |
| 93000 |
|
1,182 |
1,155 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
832 |
801 |
$9K |
| 82962 |
|
2,186 |
2,041 |
$5K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
294 |
291 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,201 |
2,119 |
$3K |
| 90686 |
|
123 |
123 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
145 |
144 |
$1K |
| 82947 |
|
468 |
453 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$998.44 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
56 |
55 |
$904.74 |
| 90688 |
|
44 |
43 |
$700.00 |
| 81003 |
|
554 |
541 |
$694.89 |
| 85018 |
|
159 |
157 |
$382.74 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
299 |
296 |
$240.86 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$233.07 |
| 3078F |
|
848 |
795 |
$0.00 |
| 3077F |
|
1,120 |
1,054 |
$0.00 |
| 3079F |
|
795 |
758 |
$0.00 |
| 3044F |
|
445 |
427 |
$0.00 |
| 3080F |
|
848 |
811 |
$0.00 |
| 3074F |
|
874 |
821 |
$0.00 |
| 3075F |
|
379 |
364 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |