| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,712 |
22,159 |
$1.39M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,264 |
1,787 |
$151K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,656 |
1,376 |
$131K |
| 59425 |
|
1,311 |
830 |
$89K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
792 |
746 |
$69K |
| 87428 |
|
1,895 |
1,608 |
$47K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,688 |
1,536 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,724 |
2,366 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,328 |
2,047 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
588 |
524 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
131 |
117 |
$11K |
| 87430 |
|
316 |
281 |
$4K |
| 90686 |
|
605 |
450 |
$3K |
| 59426 |
|
30 |
13 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
292 |
253 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
88 |
$1K |
| 90677 |
|
245 |
227 |
$836.36 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
183 |
165 |
$803.99 |
| 90656 |
|
57 |
55 |
$501.75 |
| 0001A |
|
45 |
18 |
$387.91 |
| 0031A |
|
99 |
40 |
$360.00 |
| 81003 |
|
166 |
141 |
$249.06 |
| 90670 |
|
701 |
621 |
$230.14 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
15 |
13 |
$160.12 |
| 99000 |
|
64 |
60 |
$160.01 |
| 99490 |
Ccm add 20min |
310 |
283 |
$9.46 |
| 1160F |
|
14,251 |
12,391 |
$0.00 |
| 3078F |
|
7,222 |
6,253 |
$0.00 |
| 1159F |
|
14,253 |
12,390 |
$0.00 |
| 90633 |
|
136 |
129 |
$0.00 |
| 3725F |
|
1,614 |
1,394 |
$0.00 |
| 90648 |
|
132 |
117 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
222 |
203 |
$0.00 |
| 91300 |
|
53 |
18 |
$0.00 |
| 3077F |
|
151 |
136 |
$0.00 |
| 1036F |
|
10,825 |
9,287 |
$0.00 |
| 96127 |
|
4,109 |
3,573 |
$0.00 |
| 3008F |
|
11,481 |
9,850 |
$0.00 |
| 3079F |
|
1,695 |
1,478 |
$0.00 |
| 1034F |
|
1,676 |
1,399 |
$0.00 |
| 3074F |
|
8,222 |
7,051 |
$0.00 |
| 90680 |
|
484 |
426 |
$0.00 |
| 1035F |
|
306 |
263 |
$0.00 |
| 3075F |
|
563 |
485 |
$0.00 |
| 90723 |
|
132 |
116 |
$0.00 |
| 3080F |
|
39 |
32 |
$0.00 |
| 90381 |
|
17 |
12 |
$0.00 |
| 90698 |
|
120 |
109 |
$0.00 |
| 90697 |
|
67 |
64 |
$0.00 |
| 1126F |
|
111 |
100 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
16 |
13 |
$0.00 |
| 1125F |
|
14 |
14 |
$0.00 |