| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,997 |
7,283 |
$759K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,006 |
1,004 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
644 |
605 |
$71K |
| 94010 |
|
1,432 |
1,425 |
$43K |
| 90746 |
|
512 |
512 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
223 |
222 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,348 |
1,301 |
$23K |
| 90674 |
|
744 |
744 |
$19K |
| 93000 |
|
1,295 |
1,283 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,402 |
1,371 |
$16K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,972 |
1,964 |
$10K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,529 |
1,521 |
$7K |
| 81002 |
|
1,746 |
1,698 |
$4K |
| 99490 |
Ccm add 20min |
145 |
134 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
880 |
880 |
$3K |
| 96127 |
|
2,209 |
2,200 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,848 |
1,840 |
$3K |
| 99051 |
|
667 |
615 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,259 |
2,183 |
$2K |
| 99491 |
Ccm add 20min |
51 |
47 |
$2K |
| 99401 |
|
141 |
141 |
$2K |
| 3074F |
|
403 |
387 |
$1K |
| 3078F |
|
397 |
382 |
$1K |
| 99408 |
|
1,799 |
1,793 |
$870.02 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
24 |
24 |
$699.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
40 |
$546.21 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
12 |
$497.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
42 |
25 |
$481.33 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,326 |
1,321 |
$481.00 |
| 99407 |
|
50 |
50 |
$373.57 |
| 3044F |
|
17 |
12 |
$29.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
34 |
12 |
$18.77 |
| 3061F |
|
13 |
12 |
$9.00 |
| 3008F |
|
607 |
606 |
$0.50 |
| 3017F |
|
113 |
99 |
$0.00 |
| 1101F |
|
928 |
925 |
$0.00 |
| 1036F |
|
425 |
424 |
$0.00 |
| 1000F |
|
12 |
12 |
$0.00 |
| 3014F |
|
116 |
92 |
$0.00 |
| 99406 |
|
19 |
19 |
$0.00 |
| 3288F |
|
929 |
926 |
$0.00 |
| 3725F |
|
614 |
613 |
$0.00 |
| 3015F |
|
19 |
15 |
$0.00 |
| 3016F |
|
200 |
200 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
104 |
90 |
$0.00 |
| 82274 |
|
57 |
52 |
$0.00 |