| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,991 |
11,975 |
$715K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,427 |
3,302 |
$276K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,179 |
1,167 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,294 |
1,282 |
$93K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,098 |
1,088 |
$88K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
969 |
955 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
350 |
348 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,061 |
2,020 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
895 |
883 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
5,131 |
5,033 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,129 |
1,088 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
200 |
199 |
$11K |
| 81002 |
|
4,153 |
4,084 |
$10K |
| 90658 |
|
806 |
802 |
$8K |
| 99407 |
|
468 |
448 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
415 |
411 |
$6K |
| 81025 |
|
797 |
781 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
398 |
395 |
$3K |
| 99496 |
|
29 |
28 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
238 |
234 |
$3K |
| 99215 |
Prolong outpt/office vis |
30 |
30 |
$3K |
| 80305 |
|
277 |
271 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
63 |
$2K |
| 90756 |
|
266 |
258 |
$2K |
| 99385 |
|
25 |
25 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
63 |
63 |
$1K |
| 97803 |
|
2,624 |
2,581 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$761.02 |
| 82044 |
|
170 |
167 |
$758.24 |
| 82570 |
|
164 |
162 |
$522.94 |
| 93000 |
|
24 |
24 |
$237.36 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
74 |
74 |
$132.64 |
| 96160 |
|
45 |
45 |
$93.04 |
| 86580 |
|
16 |
16 |
$77.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
123 |
119 |
$67.68 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
39 |
39 |
$37.04 |
| 90649 |
|
527 |
522 |
$0.30 |
| 3060F |
|
27 |
26 |
$0.03 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,651 |
2,549 |
$0.03 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
850 |
826 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
900 |
888 |
$0.00 |
| 90696 |
|
30 |
30 |
$0.00 |
| 90716 |
|
141 |
138 |
$0.00 |
| 90744 |
|
54 |
54 |
$0.00 |
| 90698 |
|
26 |
25 |
$0.00 |
| 3080F |
|
19 |
19 |
$0.00 |
| 90707 |
|
126 |
124 |
$0.00 |
| 90670 |
|
60 |
60 |
$0.00 |
| 90633 |
|
120 |
120 |
$0.00 |
| 90734 |
|
592 |
584 |
$0.00 |
| 90700 |
|
91 |
91 |
$0.00 |
| 3078F |
|
14 |
14 |
$0.00 |
| 3077F |
|
35 |
34 |
$0.00 |
| 3046F |
|
42 |
41 |
$0.00 |