| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83,423 |
71,920 |
$5.19M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,256 |
40,665 |
$1.99M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,219 |
1,148 |
$73K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,338 |
3,204 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
523 |
513 |
$56K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
473 |
466 |
$48K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
454 |
451 |
$44K |
| 90688 |
|
1,289 |
1,094 |
$19K |
| 90686 |
|
516 |
400 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
424 |
383 |
$6K |
| 99442 |
|
140 |
123 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79 |
73 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 90662 |
|
140 |
140 |
$899.76 |
| 98925 |
|
26 |
25 |
$624.32 |
| 99443 |
|
22 |
19 |
$609.26 |
| 99490 |
Ccm add 20min |
136 |
113 |
$577.39 |
| 90658 |
|
54 |
51 |
$541.57 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
286 |
262 |
$385.78 |
| 94010 |
|
13 |
13 |
$331.18 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$265.49 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
82 |
77 |
$211.56 |
| 99000 |
|
130 |
105 |
$144.74 |
| G0008 |
Administration of influenza virus vaccine |
314 |
270 |
$141.19 |
| 1036F |
|
16,581 |
13,773 |
$88.75 |
| 81002 |
|
45 |
38 |
$75.80 |
| 3074F |
|
18,016 |
15,110 |
$25.82 |
| 3079F |
|
6,106 |
5,379 |
$25.34 |
| 0521F |
|
1,766 |
1,512 |
$25.34 |
| 3078F |
|
18,725 |
15,510 |
$8.71 |
| 1159F |
|
24,785 |
19,688 |
$5.43 |
| 3008F |
|
31,984 |
25,514 |
$4.48 |
| 1160F |
|
22,710 |
18,809 |
$4.24 |
| 1125F |
|
10,447 |
8,706 |
$4.21 |
| 99499 |
|
16 |
15 |
$0.04 |
| 1126F |
|
13,861 |
11,672 |
$0.01 |
| 3075F |
|
2,736 |
2,471 |
$0.00 |
| 4010F |
|
1,572 |
1,179 |
$0.00 |
| 1034F |
|
1,854 |
1,446 |
$0.00 |
| 3044F |
|
435 |
405 |
$0.00 |
| 1111F |
|
1,053 |
783 |
$0.00 |
| 1031F |
|
490 |
328 |
$0.00 |
| 1170F |
|
121 |
105 |
$0.00 |
| 3080F |
|
283 |
246 |
$0.00 |
| 2016F |
|
31 |
27 |
$0.00 |
| 2015F |
|
31 |
27 |
$0.00 |
| 3048F |
|
29 |
25 |
$0.00 |
| 3077F |
|
3,165 |
2,689 |
$0.00 |
| 1033F |
|
404 |
281 |
$0.00 |
| 1158F |
|
324 |
300 |
$0.00 |
| 3725F |
|
2,633 |
2,461 |
$0.00 |
| 3288F |
|
106 |
97 |
$0.00 |
| 3050F |
|
12 |
12 |
$0.00 |
| 1100F |
|
52 |
51 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
84 |
62 |
$0.00 |