| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,645 |
9,625 |
$1.21M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,629 |
8,492 |
$775K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
335 |
313 |
$80K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
619 |
578 |
$79K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
245 |
236 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
122 |
118 |
$18K |
| 93000 |
|
1,193 |
1,051 |
$13K |
| 93925 |
|
77 |
68 |
$13K |
| 92552 |
|
651 |
581 |
$10K |
| 99443 |
|
133 |
104 |
$7K |
| 93930 |
|
34 |
28 |
$5K |
| 92551 |
|
564 |
486 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
80 |
$5K |
| 99407 |
|
157 |
151 |
$3K |
| 93970 |
|
27 |
24 |
$2K |
| 93351 |
|
17 |
12 |
$2K |
| 99173 |
|
1,193 |
1,037 |
$2K |
| 94617 |
|
34 |
33 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
61 |
58 |
$1K |
| 94375 |
|
49 |
46 |
$1K |
| 94618 |
|
34 |
33 |
$805.71 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
34 |
$706.59 |
| 94200 |
|
49 |
46 |
$673.53 |
| 93320 |
|
17 |
12 |
$507.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
33 |
$464.64 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
49 |
46 |
$452.98 |
| 96103 |
|
32 |
31 |
$445.70 |
| 94150 |
|
29 |
26 |
$400.64 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
47 |
44 |
$303.34 |
| 93325 |
|
16 |
12 |
$243.40 |
| 82948 |
|
73 |
60 |
$192.46 |
| 90674 |
|
14 |
13 |
$153.92 |
| 99406 |
|
12 |
12 |
$115.01 |
| G0403 |
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report |
14 |
12 |
$24.96 |
| 36416 |
|
78 |
65 |
$1.50 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
136 |
130 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
30 |
27 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
48 |
45 |
$0.00 |
| 99499 |
|
285 |
185 |
$0.00 |
| 96160 |
|
17 |
15 |
$0.00 |
| 99497 |
|
21 |
18 |
$0.00 |