| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,081 |
9,980 |
$947K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,611 |
6,049 |
$398K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,242 |
1,231 |
$104K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
875 |
863 |
$82K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
682 |
681 |
$54K |
| 99385 |
|
503 |
500 |
$49K |
| 93000 |
|
2,637 |
2,582 |
$23K |
| 99406 |
|
2,871 |
2,476 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
167 |
167 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,215 |
1,089 |
$11K |
| 99386 |
|
85 |
85 |
$10K |
| 99215 |
Prolong outpt/office vis |
63 |
61 |
$6K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
820 |
775 |
$5K |
| 96127 |
|
1,678 |
1,446 |
$4K |
| 81025 |
|
385 |
365 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
233 |
231 |
$2K |
| 99050 |
|
299 |
283 |
$2K |
| 90686 |
|
124 |
123 |
$2K |
| 90674 |
|
57 |
57 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
17 |
$1K |
| 20552 |
|
43 |
39 |
$1K |
| 90688 |
|
40 |
40 |
$750.15 |
| 81002 |
|
278 |
261 |
$676.89 |
| 90656 |
|
12 |
12 |
$227.08 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
53 |
50 |
$111.86 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
13 |
$57.89 |
| 96160 |
|
527 |
514 |
$37.53 |
| 3079F |
|
3,499 |
3,253 |
$2.23 |
| 3075F |
|
1,762 |
1,685 |
$2.23 |
| 1159F |
|
7,779 |
6,859 |
$2.23 |
| 3048F |
|
510 |
489 |
$0.00 |
| 1036F |
|
8,591 |
7,439 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
466 |
421 |
$0.00 |
| 3061F |
|
260 |
242 |
$0.00 |
| 3074F |
|
6,516 |
5,888 |
$0.00 |
| 1125F |
|
135 |
125 |
$0.00 |
| 3049F |
|
272 |
258 |
$0.00 |
| 1034F |
|
1,259 |
1,049 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
183 |
177 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
983 |
869 |
$0.00 |
| 3044F |
|
872 |
828 |
$0.00 |
| 4010F |
|
147 |
140 |
$0.00 |
| 1111F |
|
512 |
459 |
$0.00 |
| 3080F |
|
118 |
113 |
$0.00 |
| 3060F |
|
14 |
14 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |
| 3016F |
|
1,259 |
1,108 |
$0.00 |
| 3077F |
|
826 |
785 |
$0.00 |
| 3078F |
|
4,952 |
4,549 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,608 |
1,450 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,866 |
1,636 |
$0.00 |
| 99072 |
|
716 |
670 |
$0.00 |
| 2028F |
|
28 |
27 |
$0.00 |
| 3050F |
|
106 |
100 |
$0.00 |
| 3511F |
|
17 |
17 |
$0.00 |