| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,017 |
7,706 |
$446K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,076 |
956 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
132 |
124 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
922 |
819 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
263 |
242 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
45 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,276 |
1,124 |
$4K |
| 90686 |
|
249 |
234 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
145 |
141 |
$3K |
| 81002 |
|
925 |
825 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
269 |
235 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
37 |
$1K |
| 82962 |
|
612 |
540 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$637.99 |
| 90688 |
|
55 |
55 |
$619.54 |
| 93000 |
|
13 |
12 |
$581.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
25 |
$402.75 |
| 90651 |
|
23 |
21 |
$252.81 |
| 85014 |
|
62 |
58 |
$142.35 |
| 85018 |
|
62 |
58 |
$142.35 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$10.31 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
58 |
50 |
$6.09 |
| 3008F |
|
1,462 |
1,261 |
$1.50 |
| 3078F |
|
813 |
704 |
$1.01 |
| 3074F |
|
820 |
697 |
$0.85 |
| 3079F |
|
139 |
116 |
$0.12 |
| 3075F |
|
49 |
41 |
$0.09 |
| 3077F |
|
40 |
38 |
$0.07 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,027 |
5,010 |
$0.00 |
| 3725F |
|
304 |
290 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
291 |
256 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
21 |
21 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
14 |
14 |
$0.00 |
| 1036F |
|
25 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |