| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,108 |
2,616 |
$197K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
505 |
441 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,025 |
842 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
277 |
273 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
52 |
$6K |
| 99072 |
|
2,745 |
1,824 |
$6K |
| 93000 |
|
417 |
414 |
$5K |
| 99215 |
Prolong outpt/office vis |
48 |
43 |
$5K |
| 3074F |
|
2,577 |
1,775 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
73 |
$4K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
146 |
135 |
$4K |
| 3078F |
|
2,032 |
1,412 |
$4K |
| 90686 |
|
179 |
178 |
$3K |
| 0011A |
|
56 |
56 |
$2K |
| 0012A |
|
51 |
51 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
186 |
185 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
147 |
145 |
$2K |
| 3079F |
|
749 |
624 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
143 |
132 |
$1K |
| 94060 |
|
16 |
16 |
$655.35 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
197 |
197 |
$629.96 |
| 88325 |
|
56 |
52 |
$531.71 |
| 3075F |
|
252 |
181 |
$395.00 |
| H0001 |
Alcohol and/or drug assessment |
168 |
168 |
$301.50 |
| 94760 |
|
4,013 |
2,397 |
$232.77 |
| 90658 |
|
37 |
37 |
$220.39 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$214.06 |
| 94664 |
|
16 |
16 |
$189.30 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
173 |
173 |
$181.20 |
| 3077F |
|
115 |
78 |
$167.50 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
119 |
117 |
$148.16 |
| 99415 |
Prolong outpt/office vis |
42 |
36 |
$143.80 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
27 |
25 |
$118.38 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$91.57 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
669 |
557 |
$88.10 |
| S9451 |
Exercise classes, non-physician provider, per session |
34 |
34 |
$82.50 |
| 81003 |
|
172 |
168 |
$51.43 |
| 36415 |
Collection of venous blood by venipuncture |
931 |
877 |
$34.00 |
| 97802 |
|
403 |
377 |
$32.89 |
| 86318 |
|
83 |
70 |
$24.03 |
| 36410 |
|
213 |
208 |
$20.90 |
| S9470 |
Nutritional counseling, dietitian visit |
12 |
12 |
$17.50 |
| J3490 |
Unclassified drugs |
132 |
123 |
$17.50 |
| 1160F |
|
47 |
47 |
$15.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
244 |
221 |
$7.54 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$6.72 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
112 |
102 |
$1.79 |
| 99091 |
|
40 |
33 |
$0.00 |
| 3725F |
|
135 |
135 |
$0.00 |
| 3016F |
|
130 |
130 |
$0.00 |
| 4274F |
|
106 |
105 |
$0.00 |
| 3050F |
|
24 |
24 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
161 |
161 |
$0.00 |
| 99173 |
|
73 |
73 |
$0.00 |
| 99354 |
|
14 |
13 |
$0.00 |
| 2001F |
|
2,067 |
1,473 |
$0.00 |
| 3044F |
|
317 |
315 |
$0.00 |
| 3061F |
|
186 |
185 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
349 |
318 |
$0.00 |
| 3048F |
|
202 |
201 |
$0.00 |
| 3008F |
|
2,098 |
1,512 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
687 |
610 |
$0.00 |
| 99000 |
|
1,026 |
919 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
151 |
151 |
$0.00 |
| 1036F |
|
121 |
121 |
$0.00 |
| 3049F |
|
27 |
27 |
$0.00 |
| 1000F |
|
130 |
130 |
$0.00 |
| 91301 |
|
77 |
77 |
$0.00 |
| 94010 |
|
15 |
15 |
$0.00 |
| 2000F |
|
40 |
31 |
$0.00 |