| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,113 |
12,350 |
$784K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,939 |
15,410 |
$677K |
| 99493 |
|
3,836 |
3,700 |
$253K |
| 99492 |
|
981 |
921 |
$85K |
| 96160 |
|
19,430 |
17,147 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
536 |
532 |
$56K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
671 |
652 |
$51K |
| 99494 |
|
1,115 |
1,015 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
267 |
262 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
913 |
876 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
247 |
239 |
$12K |
| 99401 |
|
621 |
533 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
567 |
518 |
$7K |
| 90682 |
|
109 |
101 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,061 |
859 |
$4K |
| 90686 |
|
252 |
227 |
$3K |
| 96127 |
|
1,485 |
1,270 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
45 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
39 |
$956.72 |
| 0134A |
|
15 |
15 |
$847.10 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
68 |
63 |
$544.57 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
51 |
42 |
$149.59 |
| 90662 |
|
26 |
26 |
$127.74 |
| 81002 |
|
63 |
59 |
$110.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
63 |
60 |
$90.69 |
| G0008 |
Administration of influenza virus vaccine |
87 |
75 |
$39.00 |
| 1159F |
|
8,911 |
7,593 |
$1.46 |
| 1160F |
|
8,732 |
7,431 |
$1.44 |
| 3074F |
|
5,298 |
4,528 |
$0.85 |
| 3078F |
|
3,554 |
3,044 |
$0.43 |
| 99499 |
|
122 |
106 |
$0.26 |
| 3351F |
|
2,951 |
2,485 |
$0.13 |
| 3016F |
|
347 |
322 |
$0.11 |
| 3079F |
|
1,527 |
1,326 |
$0.09 |
| 1036F |
|
237 |
216 |
$0.04 |
| 99072 |
|
1,282 |
997 |
$0.00 |
| 4013F |
|
51 |
42 |
$0.00 |
| 3085F |
|
75 |
64 |
$0.00 |
| 4010F |
|
189 |
157 |
$0.00 |
| 1000F |
|
636 |
588 |
$0.00 |
| 1170F |
|
26 |
15 |
$0.00 |
| 3048F |
|
147 |
122 |
$0.00 |
| 3353F |
|
1,601 |
1,343 |
$0.00 |
| 3075F |
|
55 |
50 |
$0.00 |
| 3080F |
|
50 |
50 |
$0.00 |
| 3044F |
|
237 |
198 |
$0.00 |
| 1126F |
|
75 |
55 |
$0.00 |
| 3354F |
|
348 |
280 |
$0.00 |
| 1034F |
|
33 |
29 |
$0.00 |
| 3061F |
|
35 |
28 |
$0.00 |
| 1111F |
|
44 |
42 |
$0.00 |
| 3049F |
|
18 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
49 |
45 |
$0.00 |
| 99070 |
|
30 |
15 |
$0.00 |