| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,355 |
4,207 |
$389K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,384 |
3,116 |
$205K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,187 |
1,185 |
$118K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
897 |
896 |
$80K |
| 99442 |
|
382 |
376 |
$22K |
| 90688 |
|
679 |
678 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
736 |
724 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
636 |
571 |
$6K |
| 96127 |
|
1,067 |
1,067 |
$3K |
| 99385 |
|
26 |
26 |
$3K |
| 90732 |
|
15 |
15 |
$2K |
| 90656 |
|
44 |
44 |
$756.79 |
| 90715 |
|
13 |
12 |
$389.52 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$339.48 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
13 |
13 |
$226.74 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
106 |
96 |
$159.32 |
| 96160 |
|
25 |
24 |
$26.82 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$23.77 |
| 3008F |
|
1,210 |
1,199 |
$0.20 |
| 3725F |
|
302 |
298 |
$0.00 |
| 99422 |
|
18 |
18 |
$0.00 |