| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,626 |
17,762 |
$1.28M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,352 |
3,338 |
$328K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,365 |
2,359 |
$209K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,356 |
2,281 |
$192K |
| 99385 |
|
548 |
546 |
$56K |
| 99496 |
|
198 |
196 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
7,112 |
6,981 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,601 |
1,442 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
654 |
636 |
$12K |
| 90682 |
|
172 |
171 |
$11K |
| 90686 |
|
397 |
393 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
72 |
72 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
659 |
654 |
$7K |
| 99386 |
|
38 |
38 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
104 |
29 |
$4K |
| 99384 |
|
35 |
34 |
$3K |
| 99406 |
|
616 |
611 |
$3K |
| 99383 |
|
33 |
33 |
$3K |
| 99497 |
|
136 |
97 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
42 |
42 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 81002 |
|
691 |
674 |
$2K |
| 82270 |
|
348 |
348 |
$1K |
| 90694 |
|
12 |
12 |
$371.25 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
354 |
329 |
$218.96 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$137.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
87 |
78 |
$136.65 |
| 90662 |
|
16 |
16 |
$130.52 |
| 86580 |
|
28 |
27 |
$123.76 |
| 97802 |
|
503 |
464 |
$5.00 |
| 3075F |
|
519 |
518 |
$0.45 |
| 3079F |
|
408 |
407 |
$0.40 |
| 3078F |
|
107 |
104 |
$0.10 |
| 3074F |
|
88 |
87 |
$0.10 |
| 1033F |
|
1,159 |
1,155 |
$0.03 |
| 3051F |
|
12 |
12 |
$0.02 |
| 3288F |
|
1,903 |
1,594 |
$0.00 |
| 0518F |
|
2,261 |
1,883 |
$0.00 |
| 99072 |
|
13 |
13 |
$0.00 |
| 1034F |
|
516 |
513 |
$0.00 |
| 1101F |
|
6,692 |
5,739 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,541 |
1,500 |
$0.00 |
| 3044F |
|
152 |
146 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
99 |
95 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |