| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,084 |
8,567 |
$283K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,100 |
2,033 |
$102K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
314 |
314 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
775 |
746 |
$18K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
905 |
888 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
133 |
133 |
$12K |
| 90686 |
|
404 |
391 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
57 |
57 |
$8K |
| 99385 |
|
46 |
46 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
663 |
632 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
775 |
751 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
92 |
37 |
$4K |
| 90750 |
|
13 |
13 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
33 |
30 |
$2K |
| 81003 |
|
653 |
603 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$1K |
| 90715 |
|
18 |
18 |
$678.24 |
| 93000 |
|
13 |
12 |
$333.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$314.47 |
| 81025 |
|
40 |
40 |
$106.40 |
| 85018 |
|
30 |
26 |
$54.75 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
44 |
43 |
$35.66 |
| 3075F |
|
159 |
158 |
$0.00 |
| 3079F |
|
207 |
200 |
$0.00 |
| 3074F |
|
555 |
541 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 3078F |
|
1,076 |
1,036 |
$0.00 |
| 3077F |
|
637 |
604 |
$0.00 |
| 99051 |
|
216 |
213 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
15 |
$0.00 |