| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,012 |
43,948 |
$3.31M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,310 |
4,285 |
$414K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,415 |
2,402 |
$211K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,709 |
1,614 |
$163K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,294 |
1,280 |
$96K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
607 |
607 |
$51K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,687 |
3,268 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
388 |
361 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,100 |
1,089 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
549 |
530 |
$9K |
| 93000 |
|
985 |
961 |
$8K |
| 81000 |
|
2,445 |
2,297 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
76 |
76 |
$5K |
| 90674 |
|
174 |
173 |
$3K |
| 99441 |
|
53 |
51 |
$2K |
| 90756 |
|
96 |
96 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
262 |
261 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
328 |
312 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
265 |
258 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
94 |
94 |
$559.51 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
651 |
617 |
$529.63 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
24 |
24 |
$501.20 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
24 |
24 |
$453.41 |
| 73562 |
|
18 |
12 |
$283.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
102 |
99 |
$42.07 |
| 1170F |
|
574 |
570 |
$2.52 |
| J0698 |
Injection, cefotaxime sodium, per gm |
47 |
43 |
$1.78 |
| 1125F |
|
356 |
354 |
$1.77 |
| 3078F |
|
23,899 |
19,750 |
$1.00 |
| 3074F |
|
25,259 |
20,692 |
$1.00 |
| 1126F |
|
113 |
111 |
$0.25 |
| 1159F |
|
17 |
17 |
$0.01 |
| 1158F |
|
17 |
17 |
$0.00 |
| 3077F |
|
9,422 |
7,988 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
248 |
245 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
939 |
938 |
$0.00 |
| S9083 |
Global fee urgent care centers |
12 |
12 |
$0.00 |
| 3075F |
|
6,619 |
6,126 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
81 |
80 |
$0.00 |
| 3080F |
|
5,375 |
4,813 |
$0.00 |
| 3079F |
|
12,068 |
10,688 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
934 |
933 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |