| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,381 |
20,840 |
$540K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,625 |
2,606 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,345 |
4,094 |
$86K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,386 |
1,378 |
$68K |
| 99215 |
Prolong outpt/office vis |
2,164 |
2,089 |
$43K |
| 99496 |
|
483 |
477 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,330 |
1,314 |
$16K |
| 90688 |
|
955 |
951 |
$15K |
| 96127 |
|
4,675 |
4,590 |
$12K |
| 82947 |
|
4,116 |
3,788 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
229 |
229 |
$8K |
| 93000 |
|
1,757 |
1,721 |
$7K |
| 99442 |
|
927 |
826 |
$7K |
| 90756 |
|
618 |
600 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
991 |
981 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,211 |
1,089 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,055 |
822 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
74 |
$4K |
| 99443 |
|
288 |
268 |
$3K |
| 99385 |
|
37 |
37 |
$2K |
| 99397 |
|
88 |
88 |
$2K |
| 99406 |
|
570 |
555 |
$2K |
| 99483 |
Prolong outpt/office vis |
58 |
48 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
41 |
$800.38 |
| 99386 |
|
12 |
12 |
$720.80 |
| 99497 |
|
114 |
114 |
$689.21 |
| 99407 |
|
112 |
105 |
$611.68 |
| 90658 |
|
40 |
40 |
$507.14 |
| 99490 |
Ccm add 20min |
411 |
410 |
$501.03 |
| G0008 |
Administration of influenza virus vaccine |
504 |
493 |
$386.99 |
| 98960 |
|
805 |
729 |
$380.23 |
| 90674 |
|
12 |
12 |
$269.16 |
| 99441 |
|
46 |
44 |
$235.06 |
| 81000 |
|
149 |
145 |
$195.63 |
| 99421 |
|
26 |
26 |
$162.28 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
16 |
13 |
$132.93 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
236 |
235 |
$125.15 |
| 97802 |
|
359 |
305 |
$119.50 |
| 86580 |
|
26 |
25 |
$101.55 |
| 82948 |
|
93 |
88 |
$98.32 |
| 99350 |
Prolong home eval add 15m |
67 |
62 |
$90.48 |
| 82962 |
|
123 |
108 |
$71.64 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
25 |
$49.54 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
64 |
63 |
$32.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
40 |
40 |
$18.00 |
| 81002 |
|
29 |
29 |
$13.96 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
39 |
38 |
$13.52 |