| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,356 |
14,785 |
$1.23M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,709 |
5,408 |
$279K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
599 |
595 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
371 |
371 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,177 |
1,132 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
360 |
359 |
$29K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
312 |
310 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,311 |
1,951 |
$22K |
| 99406 |
|
2,241 |
2,061 |
$16K |
| 99401 |
|
808 |
780 |
$8K |
| 96127 |
|
3,058 |
2,910 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
772 |
762 |
$5K |
| 82962 |
|
1,575 |
1,460 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
201 |
197 |
$3K |
| 80305 |
|
386 |
377 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,013 |
975 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,342 |
1,163 |
$2K |
| 90756 |
|
98 |
96 |
$2K |
| 99442 |
|
42 |
42 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
43 |
43 |
$1K |
| 93000 |
|
108 |
108 |
$761.33 |
| 81002 |
|
208 |
202 |
$492.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
73 |
$414.89 |
| 96160 |
|
128 |
128 |
$383.29 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
80 |
70 |
$381.32 |
| 95115 |
|
79 |
78 |
$349.19 |
| 97803 |
|
556 |
511 |
$95.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
48 |
46 |
$90.59 |
| 97802 |
|
62 |
62 |
$90.00 |
| 81000 |
|
13 |
13 |
$40.85 |
| 94760 |
|
6,581 |
5,992 |
$29.39 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,872 |
1,796 |
$0.02 |
| 3074F |
|
56 |
56 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
266 |
256 |
$0.00 |
| 1111F |
|
25 |
24 |
$0.00 |
| 3044F |
|
111 |
109 |
$0.00 |
| 3079F |
|
22 |
22 |
$0.00 |
| 99072 |
|
357 |
346 |
$0.00 |
| 3078F |
|
21 |
21 |
$0.00 |
| 3077F |
|
15 |
15 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
14 |
$0.00 |