| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,475 |
4,327 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,810 |
9,047 |
$19K |
| 94760 |
|
13,744 |
12,486 |
$9K |
| 99443 |
|
217 |
212 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,439 |
1,391 |
$5K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
2,097 |
1,976 |
$3K |
| 90656 |
|
240 |
232 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
195 |
195 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
129 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,053 |
1,001 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
4,464 |
4,271 |
$970.70 |
| 81002 |
|
1,166 |
1,137 |
$643.13 |
| 57410 |
|
15 |
15 |
$539.96 |
| 90662 |
|
38 |
36 |
$502.16 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
111 |
109 |
$479.54 |
| 3078F |
|
6,612 |
6,217 |
$356.85 |
| 85018 |
|
837 |
821 |
$346.50 |
| 90654 |
|
85 |
85 |
$346.12 |
| 92552 |
|
147 |
146 |
$332.41 |
| 99215 |
Prolong outpt/office vis |
37 |
37 |
$268.71 |
| 93000 |
|
118 |
115 |
$238.92 |
| 3074F |
|
6,530 |
6,150 |
$170.34 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
15 |
15 |
$150.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
32 |
$144.23 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
68 |
60 |
$138.16 |
| 3075F |
|
1,345 |
1,314 |
$86.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
72 |
69 |
$76.84 |
| 99000 |
|
86 |
86 |
$39.93 |
| 3077F |
|
1,361 |
1,300 |
$30.00 |
| 96127 |
|
63 |
63 |
$24.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
41 |
$23.69 |
| 99173 |
|
316 |
313 |
$23.42 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
67 |
65 |
$19.18 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
88 |
82 |
$6.97 |
| 81003 |
|
20 |
20 |
$1.96 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
112 |
112 |
$0.15 |
| 97802 |
|
112 |
112 |
$0.15 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
53 |
53 |
$0.05 |
| 1159F |
|
365 |
353 |
$0.03 |
| 1160F |
|
366 |
354 |
$0.03 |
| 1036F |
|
260 |
252 |
$0.03 |
| 4013F |
|
29 |
29 |
$0.00 |
| 3725F |
|
106 |
106 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
162 |
159 |
$0.00 |
| 1158F |
|
45 |
45 |
$0.00 |
| 3079F |
|
2,170 |
2,093 |
$0.00 |
| 3008F |
|
402 |
394 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
55 |
54 |
$0.00 |
| 3044F |
|
14 |
14 |
$0.00 |
| 2000F |
|
399 |
392 |
$0.00 |
| 3080F |
|
342 |
326 |
$0.00 |
| 1125F |
|
68 |
68 |
$0.00 |
| 1170F |
|
74 |
74 |
$0.00 |
| 1000F |
|
254 |
245 |
$0.00 |
| 1126F |
|
71 |
71 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
74 |
73 |
$0.00 |
| 81001 |
|
32 |
32 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
14 |
13 |
$0.00 |
| 4010F |
|
12 |
12 |
$0.00 |
| 1034F |
|
20 |
19 |
$0.00 |
| 99070 |
|
15 |
15 |
$0.00 |