| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
8,767 |
7,009 |
$406K |
| 99213 |
|
1,027 |
886 |
$35K |
| 3008F |
|
7,371 |
5,868 |
$7K |
| 81002 |
|
2,389 |
1,961 |
$3K |
| 96372 |
|
237 |
190 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
310 |
251 |
$3K |
| 36415 |
|
1,699 |
1,410 |
$2K |
| 80305 |
|
470 |
395 |
$2K |
| 82962 |
|
1,072 |
839 |
$2K |
| 94760 |
|
3,889 |
3,108 |
$2K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
85 |
69 |
$1K |
| 99385 |
|
15 |
13 |
$1K |
| 99204 |
|
17 |
13 |
$804.39 |
| 99211 |
|
60 |
51 |
$683.19 |
| 96127 |
|
201 |
170 |
$647.88 |
| 99406 |
|
86 |
67 |
$594.68 |
| 3079F |
|
669 |
540 |
$268.63 |
| 3074F |
|
1,397 |
1,145 |
$232.15 |
| 3077F |
|
299 |
238 |
$210.00 |
| 3078F |
|
1,066 |
892 |
$202.15 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
24 |
16 |
$197.93 |
| 3080F |
|
166 |
140 |
$140.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
81 |
69 |
$92.15 |
| 3075F |
|
175 |
148 |
$50.00 |
| 3044F |
|
18 |
16 |
$40.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$18.86 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$10.64 |
| 99000 |
|
77 |
68 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
137 |
120 |
$0.00 |