| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,340 |
18,792 |
$1.27M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,485 |
2,268 |
$75K |
| 97802 |
|
6,535 |
6,373 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
500 |
495 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
416 |
414 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,647 |
1,398 |
$25K |
| 99051 |
|
4,139 |
3,843 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
230 |
220 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
190 |
188 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
741 |
704 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
4,501 |
4,370 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
112 |
111 |
$9K |
| 93000 |
|
411 |
403 |
$4K |
| 90688 |
|
225 |
223 |
$2K |
| 81003 |
|
1,273 |
1,196 |
$2K |
| 99442 |
|
133 |
125 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
241 |
239 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
104 |
104 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
547 |
481 |
$962.35 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
622 |
526 |
$748.63 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
904 |
794 |
$410.68 |
| 94010 |
|
12 |
12 |
$217.91 |
| 90686 |
|
35 |
35 |
$152.24 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,610 |
6,431 |
$130.78 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
15 |
12 |
$50.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
12 |
12 |
$20.43 |
| 3074F |
|
8,688 |
7,738 |
$2.25 |
| 3079F |
|
5,158 |
4,549 |
$1.77 |
| 3078F |
|
6,492 |
5,919 |
$1.60 |
| 3075F |
|
1,960 |
1,825 |
$0.52 |
| 3077F |
|
1,302 |
1,183 |
$0.48 |
| 3080F |
|
330 |
314 |
$0.20 |
| 90461 |
|
345 |
329 |
$0.00 |
| 90649 |
|
21 |
21 |
$0.00 |
| 90700 |
|
26 |
26 |
$0.00 |
| 90670 |
|
30 |
28 |
$0.00 |
| 90734 |
|
157 |
157 |
$0.00 |
| 90658 |
|
22 |
22 |
$0.00 |
| 90713 |
|
41 |
41 |
$0.00 |
| 90651 |
|
128 |
128 |
$0.00 |
| 90634 |
|
28 |
28 |
$0.00 |