| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,172 |
7,303 |
$277K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,810 |
5,333 |
$202K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,067 |
1,041 |
$74K |
| 93000 |
|
3,197 |
3,068 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,146 |
1,840 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
360 |
276 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
699 |
682 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
4,805 |
4,556 |
$8K |
| 99457 |
|
566 |
499 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,467 |
1,339 |
$6K |
| 90674 |
|
276 |
276 |
$6K |
| 90756 |
|
253 |
248 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
55 |
$4K |
| 99454 |
|
248 |
206 |
$4K |
| 94060 |
|
51 |
51 |
$2K |
| 90653 |
|
115 |
115 |
$2K |
| 99497 |
|
123 |
93 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,075 |
916 |
$1K |
| 90694 |
|
123 |
116 |
$1K |
| 96127 |
|
722 |
696 |
$966.32 |
| 90686 |
|
34 |
34 |
$548.06 |
| 99442 |
|
49 |
42 |
$519.15 |
| 99397 |
|
12 |
12 |
$430.87 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
83 |
54 |
$392.14 |
| 90661 |
|
18 |
17 |
$372.94 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$257.00 |
| 99490 |
Ccm add 20min |
18 |
18 |
$223.25 |
| 93922 |
|
16 |
14 |
$109.28 |
| 99453 |
|
16 |
13 |
$89.45 |
| G0008 |
Administration of influenza virus vaccine |
226 |
222 |
$72.02 |
| 81002 |
|
63 |
62 |
$47.96 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
50 |
50 |
$0.00 |