| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,581 |
28,693 |
$2.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,640 |
12,643 |
$1.17M |
| 99215 |
Prolong outpt/office vis |
3,005 |
2,924 |
$348K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,924 |
1,919 |
$187K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,940 |
3,714 |
$160K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,554 |
1,552 |
$138K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,598 |
4,992 |
$47K |
| 36415 |
Collection of venous blood by venipuncture |
10,897 |
10,622 |
$32K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
143 |
13 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
1,404 |
1,350 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
202 |
202 |
$15K |
| 81002 |
|
5,747 |
5,461 |
$14K |
| 99401 |
|
534 |
492 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
603 |
576 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
826 |
820 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
86 |
$9K |
| 99406 |
|
1,057 |
1,042 |
$9K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
692 |
680 |
$7K |
| 99442 |
|
68 |
65 |
$5K |
| 96127 |
|
1,407 |
1,386 |
$4K |
| 90688 |
|
261 |
251 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
127 |
127 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
260 |
257 |
$2K |
| 74019 |
|
118 |
118 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
85 |
85 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,290 |
1,155 |
$2K |
| 83014 |
|
460 |
458 |
$2K |
| 92250 |
|
61 |
57 |
$1K |
| 84703 |
|
224 |
213 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
256 |
254 |
$1K |
| 99000 |
|
565 |
543 |
$1K |
| 95012 |
|
111 |
108 |
$1K |
| 74018 |
|
70 |
69 |
$1K |
| 82947 |
|
382 |
361 |
$1K |
| 72100 |
|
48 |
47 |
$1K |
| 72110 |
|
40 |
39 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,824 |
1,719 |
$849.99 |
| 94010 |
|
26 |
26 |
$441.76 |
| 93000 |
|
33 |
33 |
$302.44 |
| 90686 |
|
12 |
12 |
$283.88 |
| 90756 |
|
16 |
16 |
$239.94 |
| 73620 |
|
14 |
14 |
$239.49 |
| 90658 |
|
19 |
19 |
$163.17 |
| 92550 |
|
12 |
12 |
$156.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
36 |
34 |
$126.67 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
12 |
12 |
$48.33 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
12 |
12 |
$43.37 |
| 2022F |
|
56 |
52 |
$25.02 |
| 1101F |
|
1,439 |
1,413 |
$25.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,137 |
1,114 |
$25.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
119 |
105 |
$17.03 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
140 |
136 |
$0.00 |
| 97802 |
|
18 |
17 |
$0.00 |
| 99455 |
|
17 |
17 |
$0.00 |
| 1160F |
|
30 |
30 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |