| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,922 |
12,599 |
$799K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,102 |
7,848 |
$360K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
449 |
431 |
$43K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,578 |
1,398 |
$31K |
| 99215 |
Prolong outpt/office vis |
443 |
362 |
$21K |
| 94760 |
|
26,311 |
20,045 |
$18K |
| 92250 |
|
285 |
261 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
151 |
140 |
$9K |
| 99490 |
Ccm add 20min |
2,356 |
2,228 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
89 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
391 |
354 |
$6K |
| 93000 |
|
568 |
495 |
$5K |
| 99497 |
|
560 |
440 |
$4K |
| 96160 |
|
2,058 |
1,816 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
44 |
43 |
$3K |
| 81002 |
|
1,265 |
1,142 |
$3K |
| 90686 |
|
169 |
155 |
$2K |
| 90756 |
|
125 |
113 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
496 |
351 |
$1K |
| 99242 |
|
13 |
12 |
$913.30 |
| 94010 |
|
44 |
41 |
$729.37 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
25 |
$601.42 |
| 99397 |
|
16 |
14 |
$431.90 |
| 90715 |
|
14 |
14 |
$372.20 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
561 |
428 |
$351.60 |
| 90653 |
|
53 |
48 |
$333.97 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
54 |
54 |
$297.18 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
814 |
613 |
$205.18 |
| 82274 |
|
37 |
29 |
$157.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
45 |
38 |
$65.42 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
20 |
13 |
$46.46 |
| 99173 |
|
13 |
13 |
$31.44 |
| G0008 |
Administration of influenza virus vaccine |
49 |
41 |
$26.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
57 |
57 |
$24.54 |
| 99499 |
|
5,481 |
4,147 |
$18.66 |
| 96127 |
|
248 |
189 |
$11.57 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
231 |
176 |
$0.02 |
| 3016F |
|
296 |
231 |
$0.02 |
| 1111F |
|
785 |
596 |
$0.01 |
| 3008F |
|
182 |
144 |
$0.00 |
| 1170F |
|
234 |
179 |
$0.00 |
| 1126F |
|
153 |
121 |
$0.00 |
| 7010F |
|
39 |
29 |
$0.00 |
| 2010F |
|
87 |
67 |
$0.00 |
| 6110F |
|
32 |
24 |
$0.00 |
| 3725F |
|
799 |
608 |
$0.00 |
| 1159F |
|
615 |
482 |
$0.00 |
| 1160F |
|
443 |
335 |
$0.00 |
| 2028F |
|
129 |
105 |
$0.00 |
| 1158F |
|
33 |
24 |
$0.00 |
| G0405 |
Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination |
35 |
27 |
$0.00 |