| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,990 |
11,417 |
$880K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,756 |
6,629 |
$354K |
| 99199 |
Unlisted special service, procedure or report |
49,651 |
30,167 |
$294K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,918 |
1,493 |
$201K |
| 99406 |
|
2,923 |
1,988 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
241 |
186 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,790 |
670 |
$16K |
| 99401 |
|
1,439 |
1,033 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,246 |
1,530 |
$10K |
| 99215 |
Prolong outpt/office vis |
200 |
127 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
892 |
684 |
$9K |
| 99051 |
|
447 |
349 |
$8K |
| 93000 |
|
874 |
647 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
947 |
521 |
$7K |
| 81002 |
|
3,340 |
2,268 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
25 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
232 |
152 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
347 |
201 |
$2K |
| 96127 |
|
656 |
445 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
91 |
50 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
14 |
$1K |
| 96160 |
|
483 |
330 |
$964.90 |
| 90686 |
|
106 |
62 |
$800.35 |
| 90682 |
|
69 |
34 |
$779.80 |
| 81025 |
|
141 |
94 |
$672.80 |
| 90688 |
|
94 |
82 |
$604.95 |
| 99407 |
|
26 |
16 |
$324.56 |
| 87905 |
|
19 |
13 |
$197.04 |
| 83037 |
|
545 |
382 |
$159.97 |
| 87808 |
|
18 |
12 |
$155.43 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
336 |
196 |
$99.79 |
| 80305 |
|
16 |
14 |
$91.03 |
| 3044F |
|
1,346 |
990 |
$60.00 |
| 99497 |
|
25 |
12 |
$16.01 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19 |
14 |
$6.40 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
24 |
13 |
$3.12 |
| 3008F |
|
12,427 |
8,744 |
$1.29 |
| 3074F |
|
12,515 |
8,692 |
$1.01 |
| 3077F |
|
4,382 |
2,980 |
$0.00 |
| 3078F |
|
11,713 |
8,115 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,616 |
4,936 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
295 |
226 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
311 |
249 |
$0.00 |
| 1034F |
|
3,737 |
2,277 |
$0.00 |
| 1036F |
|
6,575 |
4,010 |
$0.00 |
| 3075F |
|
2,667 |
1,949 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
1,958 |
1,430 |
$0.00 |
| 3079F |
|
4,634 |
3,424 |
$0.00 |
| 99000 |
|
219 |
175 |
$0.00 |
| 3080F |
|
2,938 |
2,122 |
$0.00 |
| 1111F |
|
55 |
44 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
78 |
68 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
278 |
209 |
$0.00 |