| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,325 |
11,116 |
$723K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,594 |
1,389 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,568 |
1,875 |
$80K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
651 |
598 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
558 |
527 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
313 |
265 |
$10K |
| 94060 |
|
249 |
219 |
$7K |
| 94664 |
|
270 |
237 |
$1K |
| 80305 |
|
148 |
97 |
$998.97 |
| 99490 |
Ccm add 20min |
947 |
890 |
$786.52 |
| 99439 |
|
901 |
847 |
$567.62 |
| 99454 |
|
263 |
238 |
$565.96 |
| 99487 |
Ccm add 20min |
34 |
31 |
$310.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,451 |
822 |
$171.50 |
| 99489 |
Ccm add 20min |
27 |
25 |
$134.15 |
| 94760 |
|
276 |
244 |
$128.27 |
| 3044F |
|
59 |
57 |
$100.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
788 |
660 |
$70.32 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
910 |
494 |
$60.80 |
| 81025 |
|
17 |
12 |
$56.79 |
| 3051F |
|
15 |
14 |
$45.00 |
| 3078F |
|
204 |
180 |
$30.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
581 |
324 |
$20.00 |
| 3074F |
|
201 |
178 |
$12.00 |
| 3075F |
|
89 |
80 |
$10.00 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
276 |
168 |
$9.51 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
13 |
$5.71 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
21 |
14 |
$5.52 |
| 99457 |
|
23 |
17 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
14 |
12 |
$0.00 |
| 3079F |
|
86 |
77 |
$0.00 |
| 83037 |
|
1,974 |
1,493 |
$0.00 |