| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,438 |
6,893 |
$211K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,427 |
4,610 |
$191K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
467 |
417 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
401 |
383 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,078 |
966 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
292 |
267 |
$13K |
| 0002A |
|
247 |
235 |
$10K |
| 0001A |
|
228 |
224 |
$10K |
| 0012A |
|
506 |
357 |
$6K |
| 99050 |
|
660 |
557 |
$5K |
| 0011A |
|
575 |
387 |
$5K |
| 0013A |
|
204 |
172 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
61 |
$3K |
| 99385 |
|
62 |
59 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
61 |
61 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
201 |
186 |
$1K |
| 87230 |
|
186 |
174 |
$1K |
| 0003A |
|
36 |
35 |
$1K |
| 86703 |
|
206 |
188 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
76 |
$1K |
| 99386 |
|
15 |
12 |
$863.76 |
| 0071A |
|
13 |
13 |
$566.34 |
| 86592 |
|
219 |
198 |
$437.34 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
275 |
145 |
$195.77 |
| 0054A |
|
24 |
22 |
$176.54 |
| 90756 |
|
24 |
22 |
$166.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
248 |
181 |
$111.39 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
62 |
55 |
$92.76 |
| 82962 |
|
51 |
39 |
$84.24 |
| 3074F |
|
360 |
292 |
$64.00 |
| 99442 |
|
366 |
272 |
$56.90 |
| 3078F |
|
374 |
304 |
$56.00 |
| 3077F |
|
152 |
127 |
$20.00 |
| 3079F |
|
59 |
50 |
$8.00 |
| 3075F |
|
30 |
25 |
$8.00 |
| 3080F |
|
50 |
44 |
$4.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$0.58 |
| 91300 |
|
571 |
541 |
$0.00 |
| 1034F |
|
204 |
154 |
$0.00 |
| 1036F |
|
742 |
519 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
13 |
$0.00 |
| 91301 |
|
461 |
411 |
$0.00 |
| 1125F |
|
82 |
70 |
$0.00 |
| 1126F |
|
243 |
201 |
$0.00 |
| 91307 |
|
23 |
15 |
$0.00 |