| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,360 |
5,732 |
$331K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,192 |
1,128 |
$46K |
| 99215 |
Prolong outpt/office vis |
327 |
303 |
$19K |
| 99205 |
Prolong outpt/office vis |
21 |
20 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
49 |
$3K |
| 99493 |
|
69 |
66 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
117 |
106 |
$1K |
| 20553 |
|
27 |
27 |
$1K |
| 99492 |
|
21 |
12 |
$1K |
| 76942 |
|
26 |
26 |
$966.43 |
| 96127 |
|
148 |
144 |
$394.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$262.08 |
| 90686 |
|
12 |
12 |
$228.36 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
27 |
24 |
$111.22 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
84 |
71 |
$25.54 |
| 3078F |
|
537 |
488 |
$0.00 |
| 3077F |
|
306 |
273 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 3008F |
|
256 |
230 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
46 |
43 |
$0.00 |
| 3079F |
|
430 |
390 |
$0.00 |
| 3075F |
|
187 |
174 |
$0.00 |
| 3074F |
|
652 |
595 |
$0.00 |
| 3080F |
|
320 |
257 |
$0.00 |
| 1125F |
|
21 |
21 |
$0.00 |