| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,134 |
14,090 |
$1.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,918 |
4,929 |
$280K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,007 |
2,664 |
$239K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,729 |
1,550 |
$81K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
501 |
467 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
339 |
311 |
$28K |
| 0012A |
|
377 |
368 |
$15K |
| 0011A |
|
431 |
421 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
149 |
131 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
431 |
401 |
$11K |
| 99215 |
Prolong outpt/office vis |
216 |
156 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
113 |
109 |
$9K |
| 81025 |
|
1,713 |
1,473 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
866 |
677 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
258 |
244 |
$8K |
| 0002A |
|
92 |
87 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
114 |
97 |
$4K |
| 0001A |
|
79 |
73 |
$3K |
| 0013A |
|
73 |
72 |
$3K |
| 96160 |
|
320 |
289 |
$3K |
| 81003 |
|
963 |
867 |
$2K |
| 90651 |
|
83 |
62 |
$2K |
| 99383 |
|
18 |
14 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,351 |
2,861 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
31 |
30 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| 90734 |
|
69 |
57 |
$1K |
| 99406 |
|
129 |
93 |
$434.62 |
| 90649 |
|
35 |
26 |
$372.89 |
| 93000 |
|
13 |
12 |
$287.95 |
| 90715 |
|
16 |
12 |
$267.36 |
| 81002 |
|
109 |
101 |
$257.34 |
| S9470 |
Nutritional counseling, dietitian visit |
116 |
105 |
$150.00 |
| H0049 |
Alcohol and/or drug screening |
21 |
16 |
$105.00 |
| 99401 |
|
13 |
13 |
$90.08 |
| 90686 |
|
12 |
12 |
$89.43 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19 |
12 |
$18.77 |
| 91301 |
|
669 |
637 |
$2.25 |
| 3074F |
|
899 |
704 |
$1.58 |
| 3078F |
|
757 |
599 |
$1.29 |
| 3079F |
|
458 |
393 |
$0.60 |
| 4010F |
|
88 |
66 |
$0.35 |
| 3075F |
|
239 |
213 |
$0.14 |
| 91300 |
|
132 |
117 |
$0.12 |
| 3077F |
|
144 |
123 |
$0.12 |
| 3044F |
|
19 |
14 |
$0.06 |
| 1126F |
|
90 |
84 |
$0.05 |
| 3080F |
|
99 |
83 |
$0.01 |
| 1036F |
|
594 |
484 |
$0.00 |
| 1220F |
|
51 |
43 |
$0.00 |
| 3351F |
|
38 |
29 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
13 |
$0.00 |
| 97802 |
|
106 |
94 |
$0.00 |
| 1000F |
|
17 |
13 |
$0.00 |
| 1034F |
|
16 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
70 |
54 |
$0.00 |
| 3511F |
|
19 |
14 |
$0.00 |
| 99408 |
|
45 |
36 |
$0.00 |