| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,147 |
3,167 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,447 |
1,855 |
$59K |
| 99223 |
Prolong inpt eval add15 m |
658 |
559 |
$32K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,669 |
2,540 |
$23K |
| 99233 |
Prolong inpt eval add15 m |
989 |
382 |
$16K |
| 99215 |
Prolong outpt/office vis |
244 |
183 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
533 |
438 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
175 |
130 |
$8K |
| 99454 |
|
204 |
160 |
$3K |
| 99457 |
|
204 |
160 |
$3K |
| 87428 |
|
47 |
40 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,942 |
1,394 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
396 |
271 |
$2K |
| 99401 |
|
249 |
171 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
109 |
97 |
$1K |
| 93000 |
|
119 |
98 |
$1K |
| 99349 |
|
60 |
59 |
$1K |
| 90756 |
|
68 |
55 |
$1K |
| 94010 |
|
71 |
53 |
$1K |
| 90686 |
|
69 |
57 |
$818.67 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
118 |
73 |
$580.92 |
| 99050 |
|
47 |
40 |
$574.64 |
| 81002 |
|
502 |
278 |
$478.14 |
| 82962 |
|
266 |
185 |
$347.76 |
| 96127 |
|
595 |
330 |
$263.23 |
| 3074F |
|
978 |
619 |
$215.38 |
| 3078F |
|
1,198 |
815 |
$210.55 |
| 3044F |
|
292 |
229 |
$205.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
52 |
$176.02 |
| 96160 |
|
535 |
313 |
$154.31 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
13 |
$101.91 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
120 |
99 |
$83.66 |
| 99422 |
|
18 |
16 |
$73.77 |
| 3077F |
|
423 |
310 |
$60.28 |
| 3079F |
|
282 |
164 |
$57.57 |
| 1160F |
|
2,889 |
1,987 |
$52.50 |
| 1159F |
|
3,054 |
2,107 |
$52.50 |
| 3075F |
|
238 |
127 |
$42.53 |
| 1036F |
|
689 |
448 |
$30.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
198 |
113 |
$29.50 |
| H0049 |
Alcohol and/or drug screening |
65 |
40 |
$20.00 |
| 81003 |
|
37 |
13 |
$11.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
14 |
$6.38 |
| 3080F |
|
41 |
35 |
$0.03 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$0.00 |
| 99497 |
|
13 |
13 |
$0.00 |
| 1126F |
|
73 |
51 |
$0.00 |
| 1125F |
|
416 |
353 |
$0.00 |
| 3008F |
|
45 |
31 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
23 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$0.00 |