| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,015 |
6,871 |
$178K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,912 |
1,209 |
$58K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,641 |
661 |
$29K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
239 |
72 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
80 |
16 |
$781.88 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
64 |
13 |
$313.55 |
| 96127 |
|
232 |
220 |
$291.60 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
145 |
40 |
$283.79 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
28 |
12 |
$241.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
26 |
$175.56 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
121 |
62 |
$136.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
12 |
$98.06 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
86 |
17 |
$29.54 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
89 |
29 |
$16.94 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
28 |
12 |
$16.06 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
33 |
31 |
$11.87 |
| 3074F |
|
1,536 |
1,246 |
$2.52 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
73 |
17 |
$1.87 |
| 3079F |
|
897 |
776 |
$1.58 |
| 3078F |
|
1,599 |
1,298 |
$1.48 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$1.00 |
| 3075F |
|
799 |
716 |
$0.42 |
| 3044F |
|
247 |
223 |
$0.16 |
| 1036F |
|
1,977 |
1,585 |
$0.04 |
| 3077F |
|
111 |
103 |
$0.03 |
| 1159F |
|
35 |
32 |
$0.02 |
| 1160F |
|
35 |
32 |
$0.02 |
| 1158F |
|
21 |
19 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
511 |
447 |
$0.00 |
| 1157F |
|
12 |
12 |
$0.00 |
| 3080F |
|
44 |
41 |
$0.00 |