| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,007 |
22,764 |
$697K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,890 |
8,937 |
$384K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,460 |
1,408 |
$73K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,161 |
1,085 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
763 |
720 |
$49K |
| 99050 |
|
4,155 |
3,733 |
$43K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,384 |
2,619 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
318 |
298 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,846 |
1,515 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
404 |
347 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
701 |
449 |
$5K |
| 72100 |
|
159 |
154 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,004 |
923 |
$2K |
| 99499 |
|
109 |
107 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
676 |
635 |
$932.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,163 |
1,025 |
$712.49 |
| 71046 |
Radiologic examination, chest; 2 views |
43 |
39 |
$494.16 |
| 3044F |
|
567 |
494 |
$410.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
27 |
$370.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,803 |
1,377 |
$300.89 |
| 94060 |
|
13 |
12 |
$268.83 |
| 94016 |
|
13 |
12 |
$124.74 |
| 81002 |
|
41 |
40 |
$58.88 |
| 3051F |
|
15 |
12 |
$10.00 |
| 3074F |
|
173 |
160 |
$0.00 |
| 3079F |
|
48 |
46 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
54 |
54 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
15 |
14 |
$0.00 |
| 3075F |
|
15 |
13 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
36 |
32 |
$0.00 |
| 3078F |
|
143 |
131 |
$0.00 |
| 3046F |
|
13 |
12 |
$0.00 |