| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,976 |
4,862 |
$409K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,457 |
5,932 |
$369K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
559 |
539 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,241 |
2,122 |
$16K |
| 94060 |
|
578 |
570 |
$14K |
| 99407 |
|
989 |
972 |
$14K |
| 20610 |
|
384 |
367 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
3,306 |
3,208 |
$9K |
| 94010 |
|
415 |
405 |
$8K |
| 93000 |
|
1,015 |
992 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
88 |
$7K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
932 |
899 |
$5K |
| 82962 |
|
2,204 |
2,039 |
$5K |
| 90688 |
|
309 |
306 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
355 |
352 |
$4K |
| 99385 |
|
29 |
25 |
$2K |
| 90756 |
|
85 |
84 |
$2K |
| 99406 |
|
184 |
181 |
$1K |
| 90686 |
|
73 |
71 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
800 |
775 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
36 |
36 |
$850.73 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
37 |
37 |
$812.24 |
| G0008 |
Administration of influenza virus vaccine |
131 |
130 |
$694.97 |
| 99497 |
|
28 |
26 |
$643.42 |
| 96127 |
|
208 |
205 |
$518.05 |
| 90658 |
|
18 |
18 |
$320.79 |
| 90674 |
|
36 |
26 |
$286.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
142 |
138 |
$265.84 |
| 92229 |
|
21 |
20 |
$144.10 |
| 90687 |
|
35 |
35 |
$82.72 |
| 96160 |
|
30 |
30 |
$53.92 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
24 |
24 |
$19.73 |
| 3008F |
|
2,103 |
1,961 |
$6.07 |
| 3074F |
|
2,019 |
1,902 |
$5.68 |
| 3078F |
|
1,751 |
1,664 |
$3.06 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
24 |
24 |
$2.24 |
| 3079F |
|
212 |
208 |
$0.34 |
| 3075F |
|
113 |
109 |
$0.18 |
| 1159F |
|
1,764 |
1,654 |
$0.09 |
| 3080F |
|
70 |
68 |
$0.09 |
| 3077F |
|
57 |
52 |
$0.07 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
56 |
56 |
$0.00 |
| 4004F |
|
54 |
54 |
$0.00 |
| 3051F |
|
29 |
29 |
$0.00 |
| 1036F |
|
59 |
59 |
$0.00 |
| 3044F |
|
87 |
87 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
73 |
73 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |
| 3048F |
|
45 |
45 |
$0.00 |