| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,434 |
4,986 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,952 |
1,806 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,473 |
2,346 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
138 |
138 |
$635.02 |
| 92552 |
|
772 |
769 |
$537.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
747 |
680 |
$535.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
163 |
114 |
$512.84 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
40 |
40 |
$505.62 |
| 93000 |
|
658 |
656 |
$434.08 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
163 |
163 |
$414.84 |
| 99000 |
|
45 |
45 |
$161.55 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
433 |
407 |
$85.96 |
| 81002 |
|
1,202 |
1,170 |
$69.28 |
| 82962 |
|
522 |
469 |
$14.94 |
| 1220F |
|
230 |
229 |
$13.50 |
| 1159F |
|
270 |
270 |
$0.00 |
| 99173 |
|
760 |
759 |
$0.00 |
| 1158F |
|
311 |
307 |
$0.00 |
| 3078F |
|
303 |
299 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
58 |
58 |
$0.00 |
| 0521F |
|
15 |
15 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
19 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 1160F |
|
178 |
178 |
$0.00 |
| 80061 |
Lipid panel |
16 |
16 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 3352F |
|
475 |
474 |
$0.00 |
| 1126F |
|
142 |
141 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| 3074F |
|
280 |
277 |
$0.00 |
| 3008F |
|
245 |
245 |
$0.00 |
| 3049F |
|
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |
| 3044F |
|
97 |
94 |
$0.00 |
| 81001 |
|
31 |
31 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
29 |
28 |
$0.00 |