| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,477 |
2,379 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,025 |
999 |
$68K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
569 |
567 |
$54K |
| 20553 |
|
355 |
353 |
$9K |
| 99407 |
|
573 |
561 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
168 |
46 |
$7K |
| 99205 |
Prolong outpt/office vis |
44 |
44 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
28 |
27 |
$2K |
| 20611 |
|
41 |
41 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
126 |
105 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
420 |
388 |
$1K |
| 99305 |
|
12 |
12 |
$1K |
| 20610 |
|
12 |
12 |
$402.44 |
| 80305 |
|
22 |
22 |
$136.69 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60 |
60 |
$55.54 |
| 3077F |
|
619 |
605 |
$0.11 |
| 3078F |
|
2,291 |
2,212 |
$0.08 |
| 3080F |
|
476 |
465 |
$0.08 |
| 3074F |
|
1,675 |
1,633 |
$0.08 |
| 3079F |
|
735 |
724 |
$0.07 |
| 3075F |
|
1,260 |
1,240 |
$0.05 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
53 |
52 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
1,870 |
1,802 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
172 |
164 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
43 |
43 |
$0.00 |