| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,081 |
7,565 |
$359K |
| 90740 |
|
472 |
472 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,101 |
902 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
757 |
732 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,901 |
1,391 |
$8K |
| 99457 |
|
369 |
365 |
$5K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
636 |
528 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
636 |
528 |
$3K |
| 99454 |
|
155 |
153 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
618 |
513 |
$2K |
| 90674 |
|
143 |
143 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 93000 |
|
172 |
169 |
$1K |
| 90686 |
|
79 |
79 |
$898.68 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
674 |
321 |
$718.83 |
| 99443 |
|
44 |
42 |
$575.17 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
143 |
107 |
$371.85 |
| 90756 |
|
24 |
24 |
$350.14 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
198 |
121 |
$281.36 |
| 82150 |
|
206 |
202 |
$279.36 |
| 82977 |
|
187 |
183 |
$278.18 |
| 95816 |
|
12 |
12 |
$274.50 |
| 84550 |
|
203 |
199 |
$183.90 |
| G0008 |
Administration of influenza virus vaccine |
83 |
83 |
$90.00 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$86.56 |
| 99453 |
|
13 |
13 |
$58.83 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$55.20 |
| 82310 |
|
90 |
89 |
$16.70 |
| 84460 |
|
89 |
88 |
$13.45 |
| 84075 |
|
90 |
89 |
$13.25 |
| 84450 |
|
89 |
88 |
$13.25 |
| 82565 |
|
90 |
89 |
$13.16 |
| 82247 |
|
90 |
89 |
$13.01 |
| 82040 |
|
90 |
89 |
$11.90 |
| 84520 |
|
90 |
89 |
$11.30 |
| 84155 |
|
90 |
89 |
$10.86 |
| 82947 |
|
90 |
89 |
$7.99 |
| 95957 |
|
12 |
12 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| 96136 |
|
12 |
12 |
$0.00 |