| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,343 |
9,588 |
$321K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,821 |
1,775 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,686 |
1,616 |
$39K |
| 90686 |
|
865 |
847 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
193 |
190 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
95 |
95 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,158 |
1,124 |
$6K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
348 |
347 |
$6K |
| 96156 |
|
106 |
106 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
436 |
420 |
$4K |
| 81003 |
|
979 |
926 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
21 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
53 |
$1K |
| 90715 |
|
26 |
26 |
$959.53 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
115 |
110 |
$463.60 |
| 99051 |
|
1,521 |
1,430 |
$326.51 |
| 82947 |
|
87 |
82 |
$282.52 |
| 81025 |
|
36 |
36 |
$100.80 |
| 3074F |
|
496 |
480 |
$0.00 |
| 3075F |
|
41 |
41 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3078F |
|
1,062 |
1,018 |
$0.00 |
| 3077F |
|
336 |
314 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
25 |
$0.00 |