| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,102 |
1,026 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
670 |
632 |
$24K |
| 99215 |
Prolong outpt/office vis |
224 |
218 |
$24K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
722 |
641 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
131 |
$6K |
| 99385 |
|
48 |
48 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
29 |
$3K |
| 99496 |
|
28 |
27 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
77 |
67 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
42 |
42 |
$2K |
| 93000 |
|
173 |
172 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$1K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
82 |
81 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$568.65 |
| 81025 |
|
110 |
104 |
$315.37 |
| 81000 |
|
233 |
225 |
$291.17 |
| 99406 |
|
47 |
46 |
$286.58 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
60 |
60 |
$277.61 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
17 |
$180.29 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
48 |
$147.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$128.42 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$111.10 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
16 |
16 |
$2.81 |
| 3050F |
|
24 |
24 |
$0.00 |
| 3077F |
|
202 |
192 |
$0.00 |
| 0556F |
|
44 |
44 |
$0.00 |
| 99173 |
|
592 |
567 |
$0.00 |
| 97803 |
|
39 |
39 |
$0.00 |
| 1110F |
|
146 |
143 |
$0.00 |
| 3011F |
|
196 |
194 |
$0.00 |
| 3008F |
|
1,631 |
1,457 |
$0.00 |
| 90688 |
|
22 |
22 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| 3080F |
|
147 |
141 |
$0.00 |
| 1111F |
|
160 |
157 |
$0.00 |
| 3079F |
|
50 |
50 |
$0.00 |
| 3049F |
|
12 |
12 |
$0.00 |
| 99000 |
|
70 |
68 |
$0.00 |
| 3075F |
|
26 |
26 |
$0.00 |
| 1220F |
|
12 |
12 |
$0.00 |