| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,847 |
11,113 |
$899K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,827 |
10,990 |
$682K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,804 |
2,458 |
$237K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,290 |
1,902 |
$214K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,334 |
1,922 |
$198K |
| 99215 |
Prolong outpt/office vis |
2,552 |
1,919 |
$141K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
702 |
627 |
$67K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,681 |
1,605 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
370 |
258 |
$30K |
| 93922 |
|
391 |
369 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,245 |
1,107 |
$18K |
| 99490 |
Ccm add 20min |
3,506 |
2,711 |
$15K |
| 93000 |
|
786 |
742 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
997 |
917 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,630 |
1,476 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
167 |
167 |
$3K |
| 0011A |
|
84 |
81 |
$2K |
| 0012A |
|
63 |
63 |
$2K |
| 99454 |
|
260 |
241 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
316 |
306 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
29 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$1K |
| 81002 |
|
363 |
332 |
$944.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
614 |
592 |
$499.23 |
| 99457 |
|
51 |
48 |
$474.69 |
| 95923 |
|
16 |
15 |
$471.18 |
| 81025 |
|
26 |
26 |
$215.13 |
| 99458 |
|
13 |
12 |
$172.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$56.97 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
223 |
208 |
$18.77 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
221 |
209 |
$18.77 |
| 90686 |
|
64 |
62 |
$10.36 |
| 90688 |
|
20 |
19 |
$0.00 |
| 91301 |
|
70 |
68 |
$0.00 |
| 99487 |
Ccm add 20min |
179 |
101 |
$0.00 |