| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,123 |
8,405 |
$648K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,728 |
8,435 |
$380K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,167 |
1,158 |
$79K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
746 |
438 |
$67K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,064 |
1,054 |
$65K |
| 94010 |
|
1,063 |
1,047 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,845 |
1,504 |
$26K |
| 92552 |
|
1,007 |
982 |
$20K |
| 99385 |
|
240 |
238 |
$17K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,301 |
2,795 |
$17K |
| 93000 |
|
679 |
676 |
$13K |
| 93922 |
|
186 |
185 |
$10K |
| 99401 |
|
922 |
844 |
$9K |
| 95924 |
|
236 |
236 |
$8K |
| 99173 |
|
2,292 |
2,252 |
$7K |
| 99386 |
|
69 |
69 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
522 |
498 |
$6K |
| 90686 |
|
356 |
337 |
$6K |
| 94760 |
|
12,424 |
9,820 |
$5K |
| 96127 |
|
1,577 |
1,501 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,291 |
2,222 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,801 |
2,658 |
$4K |
| 0011A |
|
117 |
117 |
$4K |
| 0012A |
|
116 |
116 |
$4K |
| 3074F |
|
3,909 |
3,280 |
$3K |
| 0031A |
|
115 |
114 |
$3K |
| 99496 |
|
26 |
26 |
$3K |
| 3078F |
|
3,689 |
3,119 |
$3K |
| 92567 |
|
154 |
154 |
$3K |
| 82270 |
|
1,135 |
1,060 |
$3K |
| 99406 |
|
369 |
325 |
$3K |
| 96161 |
|
1,099 |
975 |
$2K |
| 90674 |
|
98 |
96 |
$2K |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
264 |
254 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
99 |
$2K |
| 99051 |
|
284 |
265 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
15 |
$1K |
| 97802 |
|
94 |
87 |
$1K |
| 80305 |
|
305 |
195 |
$1K |
| 0013A |
|
46 |
46 |
$1K |
| 3079F |
|
960 |
876 |
$1K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
635 |
539 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
79 |
$947.86 |
| 96160 |
|
446 |
386 |
$925.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
798 |
693 |
$833.00 |
| 90688 |
|
61 |
58 |
$828.21 |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
47 |
25 |
$824.08 |
| 99407 |
|
64 |
56 |
$772.94 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
119 |
112 |
$767.85 |
| 81002 |
|
397 |
384 |
$717.97 |
| 3075F |
|
626 |
573 |
$690.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
128 |
126 |
$685.12 |
| 3077F |
|
688 |
610 |
$684.62 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
545 |
433 |
$660.19 |
| 81025 |
|
139 |
104 |
$594.74 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
41 |
39 |
$555.58 |
| 3080F |
|
589 |
522 |
$537.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
341 |
316 |
$455.34 |
| 90658 |
|
46 |
46 |
$447.22 |
| 99050 |
|
61 |
58 |
$351.28 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
713 |
654 |
$165.20 |
| 82962 |
|
95 |
94 |
$160.65 |
| 0403T |
|
102 |
94 |
$152.49 |
| 86141 |
|
12 |
12 |
$78.20 |
| 80061 |
Lipid panel |
13 |
13 |
$76.33 |
| 1159F |
|
3,448 |
3,005 |
$75.00 |
| 1160F |
|
3,435 |
2,994 |
$75.00 |
| 3044F |
|
763 |
738 |
$70.00 |
| 86580 |
|
12 |
12 |
$61.28 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$50.22 |
| 83735 |
|
15 |
15 |
$44.13 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
127 |
117 |
$36.96 |
| 99000 |
|
1,863 |
1,809 |
$36.09 |
| 84100 |
|
15 |
15 |
$32.73 |
| 84550 |
|
15 |
15 |
$31.33 |
| 1126F |
|
877 |
779 |
$25.00 |
| 83721 |
|
12 |
12 |
$19.83 |
| 1125F |
|
214 |
208 |
$5.00 |
| 3511F |
|
818 |
803 |
$0.45 |
| 99429 |
|
470 |
343 |
$0.00 |
| 3049F |
|
264 |
256 |
$0.00 |
| 2000F |
|
1,960 |
1,575 |
$0.00 |
| 3048F |
|
200 |
199 |
$0.00 |
| 3008F |
|
1,903 |
1,842 |
$0.00 |
| 3017F |
|
147 |
134 |
$0.00 |
| 91303 |
|
43 |
42 |
$0.00 |
| 91301 |
|
35 |
35 |
$0.00 |
| 3061F |
|
17 |
16 |
$0.00 |
| 3050F |
|
212 |
209 |
$0.00 |
| 99080 |
|
1,401 |
311 |
$0.00 |
| 3051F |
|
15 |
13 |
$0.00 |