| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,175 |
28,237 |
$1.41M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,223 |
17,071 |
$1.12M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,286 |
1,275 |
$122K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,197 |
1,188 |
$105K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
362 |
358 |
$34K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
747 |
735 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,963 |
2,081 |
$24K |
| 90674 |
|
568 |
551 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
909 |
901 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
68 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
523 |
508 |
$5K |
| 98926 |
|
238 |
174 |
$5K |
| 99215 |
Prolong outpt/office vis |
35 |
33 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
199 |
174 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
42 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
140 |
70 |
$2K |
| 99490 |
Ccm add 20min |
937 |
929 |
$2K |
| 99386 |
|
13 |
13 |
$2K |
| 0012A |
|
80 |
79 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
131 |
131 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
417 |
369 |
$873.68 |
| 0011A |
|
61 |
61 |
$830.78 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
101 |
98 |
$681.85 |
| 81003 |
|
332 |
307 |
$574.33 |
| 90756 |
|
13 |
13 |
$328.14 |
| 90658 |
|
13 |
13 |
$294.51 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
27 |
26 |
$167.29 |
| 93000 |
|
12 |
12 |
$103.08 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
605 |
603 |
$0.00 |
| 1101F |
|
1,086 |
1,063 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
664 |
655 |
$0.00 |
| 96156 |
|
1,449 |
1,388 |
$0.00 |
| 1170F |
|
1,727 |
1,703 |
$0.00 |
| 3079F |
|
129 |
127 |
$0.00 |
| 1125F |
|
807 |
795 |
$0.00 |
| 3080F |
|
127 |
116 |
$0.00 |
| 3074F |
|
221 |
211 |
$0.00 |
| 1126F |
|
505 |
498 |
$0.00 |
| 4010F |
|
129 |
128 |
$0.00 |
| 1111F |
|
29 |
27 |
$0.00 |
| 3075F |
|
57 |
57 |
$0.00 |
| 1157F |
|
14 |
13 |
$0.00 |
| 96150 |
|
51 |
47 |
$0.00 |
| 1090F |
|
1,087 |
1,064 |
$0.00 |
| 3078F |
|
226 |
217 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
703 |
693 |
$0.00 |
| 1159F |
|
1,730 |
1,705 |
$0.00 |
| 1160F |
|
1,708 |
1,683 |
$0.00 |
| 3755F |
|
1,720 |
1,696 |
$0.00 |
| 1158F |
|
1,568 |
1,544 |
$0.00 |
| 3077F |
|
207 |
188 |
$0.00 |