| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,364 |
6,987 |
$449K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,529 |
1,128 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
632 |
563 |
$49K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
240 |
209 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
199 |
180 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
201 |
175 |
$10K |
| 94060 |
|
90 |
81 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
817 |
675 |
$1K |
| 94664 |
|
89 |
80 |
$625.11 |
| 99439 |
|
201 |
179 |
$359.10 |
| 99490 |
Ccm add 20min |
217 |
195 |
$311.60 |
| 80305 |
|
19 |
15 |
$157.08 |
| 83037 |
|
1,076 |
940 |
$153.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
617 |
528 |
$71.35 |
| 99454 |
|
48 |
45 |
$67.48 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
519 |
384 |
$30.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
27 |
26 |
$12.32 |
| 94760 |
|
110 |
99 |
$9.15 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
134 |
113 |
$2.14 |
| 3078F |
|
86 |
75 |
$0.00 |
| 3074F |
|
80 |
70 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
556 |
413 |
$0.00 |
| 3079F |
|
41 |
41 |
$0.00 |
| 3044F |
|
42 |
36 |
$0.00 |
| 3075F |
|
46 |
46 |
$0.00 |
| 99457 |
|
14 |
14 |
$0.00 |