| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,928 |
5,045 |
$403K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,111 |
1,076 |
$71K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
554 |
537 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
448 |
438 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
652 |
632 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
239 |
236 |
$24K |
| 99058 |
|
888 |
828 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
155 |
142 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
551 |
519 |
$15K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
464 |
447 |
$14K |
| 92551 |
|
1,482 |
1,434 |
$12K |
| 81002 |
|
4,700 |
4,216 |
$11K |
| 93000 |
|
588 |
575 |
$8K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
406 |
396 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
39 |
39 |
$6K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
189 |
180 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
175 |
163 |
$5K |
| 99384 |
|
33 |
32 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$3K |
| 82962 |
|
1,518 |
1,289 |
$3K |
| 81025 |
|
389 |
371 |
$2K |
| 94010 |
|
75 |
72 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$2K |
| 99383 |
|
13 |
13 |
$2K |
| 72100 |
|
28 |
27 |
$1K |
| 74018 |
|
35 |
29 |
$810.77 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
141 |
136 |
$638.26 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
54 |
51 |
$340.11 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
187 |
172 |
$74.70 |
| 3078F |
|
2,266 |
2,039 |
$0.00 |
| 3077F |
|
896 |
820 |
$0.00 |
| 90658 |
|
126 |
123 |
$0.00 |
| 90649 |
|
87 |
85 |
$0.00 |
| 90734 |
|
31 |
30 |
$0.00 |
| 3075F |
|
688 |
638 |
$0.00 |
| 3080F |
|
786 |
722 |
$0.00 |
| 3079F |
|
2,618 |
2,373 |
$0.00 |
| 3074F |
|
4,088 |
3,521 |
$0.00 |
| 1055F |
|
1,188 |
1,169 |
$0.00 |
| 3044F |
|
69 |
61 |
$0.00 |
| 99000 |
|
32 |
31 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
119 |
118 |
$0.00 |