| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,946 |
10,797 |
$1.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,011 |
3,655 |
$248K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
992 |
965 |
$103K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
669 |
651 |
$48K |
| 99215 |
Prolong outpt/office vis |
228 |
224 |
$29K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
73 |
73 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
604 |
569 |
$4K |
| 99385 |
|
45 |
42 |
$4K |
| 81002 |
|
1,794 |
1,672 |
$4K |
| 99407 |
|
302 |
253 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
40 |
$3K |
| 90686 |
|
163 |
155 |
$2K |
| 90674 |
|
73 |
73 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
161 |
153 |
$1K |
| 99442 |
|
27 |
27 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
145 |
$972.65 |
| 93000 |
|
107 |
99 |
$913.00 |
| G0008 |
Administration of influenza virus vaccine |
88 |
88 |
$828.27 |
| 81025 |
|
42 |
36 |
$280.59 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,319 |
2,818 |
$216.17 |
| 3725F |
|
769 |
696 |
$75.00 |
| 3511F |
|
561 |
518 |
$75.00 |
| 1159F |
|
8,107 |
7,359 |
$49.14 |
| 3078F |
|
5,248 |
4,787 |
$26.37 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
30 |
30 |
$11.86 |
| 1160F |
|
8,875 |
7,987 |
$8.01 |
| 3079F |
|
5,390 |
4,975 |
$7.57 |
| 3074F |
|
6,820 |
6,200 |
$7.21 |
| 3077F |
|
3,603 |
3,317 |
$5.66 |
| 3075F |
|
3,185 |
2,997 |
$4.68 |
| 3080F |
|
3,060 |
2,817 |
$4.20 |
| 3008F |
|
3,054 |
2,634 |
$0.15 |
| 3016F |
|
347 |
326 |
$0.00 |
| 1008F |
|
403 |
378 |
$0.00 |
| 4000F |
|
364 |
338 |
$0.00 |
| 4086F |
|
1,322 |
1,163 |
$0.00 |
| 3011F |
|
1,503 |
1,247 |
$0.00 |
| 3061F |
|
565 |
511 |
$0.00 |
| 3754F |
|
1,680 |
1,406 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
1,461 |
1,259 |
$0.00 |
| 3044F |
|
116 |
110 |
$0.00 |
| 4015F |
|
351 |
296 |
$0.00 |
| 1038F |
|
261 |
226 |
$0.00 |
| G8450 |
Beta-blocker therapy prescribed |
426 |
371 |
$0.00 |
| 4037F |
|
111 |
103 |
$0.00 |