| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,255 |
7,327 |
$682K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,102 |
4,270 |
$296K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
619 |
612 |
$47K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,479 |
3,240 |
$42K |
| 99407 |
|
2,470 |
2,371 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
423 |
421 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,926 |
1,904 |
$26K |
| 99408 |
|
1,265 |
1,236 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
226 |
223 |
$20K |
| 99496 |
|
168 |
167 |
$19K |
| 99385 |
|
127 |
125 |
$12K |
| 80305 |
|
778 |
754 |
$7K |
| 90756 |
|
228 |
228 |
$5K |
| 81002 |
|
1,988 |
1,924 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,017 |
1,982 |
$4K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,482 |
2,410 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
497 |
495 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
509 |
500 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
43 |
$2K |
| 99051 |
|
865 |
811 |
$2K |
| 82962 |
|
918 |
832 |
$2K |
| 81025 |
|
226 |
221 |
$2K |
| 90688 |
|
124 |
122 |
$2K |
| 90656 |
|
80 |
80 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,039 |
992 |
$984.44 |
| 97803 |
|
473 |
445 |
$138.77 |
| 36416 |
|
15 |
14 |
$61.32 |
| 97802 |
|
118 |
116 |
$41.25 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
15 |
$16.62 |
| 96160 |
|
39 |
39 |
$11.19 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
679 |
672 |
$0.31 |
| 3078F |
|
1,071 |
1,058 |
$0.00 |
| 3074F |
|
1,072 |
1,058 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
16 |
16 |
$0.00 |