| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,534 |
3,777 |
$343K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,721 |
3,185 |
$196K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,792 |
1,572 |
$61K |
| 93923 |
|
248 |
234 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,741 |
1,394 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
85 |
78 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
106 |
95 |
$8K |
| 99205 |
Prolong outpt/office vis |
42 |
42 |
$6K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
16 |
16 |
$5K |
| 99215 |
Prolong outpt/office vis |
26 |
25 |
$3K |
| 99385 |
|
13 |
13 |
$1K |
| 99406 |
|
169 |
156 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
112 |
85 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$723.51 |
| 83655 |
|
82 |
80 |
$659.14 |
| J0735 |
Injection, clonidine hydrochloride, 1 mg |
57 |
45 |
$612.48 |
| 99441 |
|
12 |
12 |
$401.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
14 |
14 |
$260.13 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
505 |
396 |
$217.75 |
| 93000 |
|
24 |
16 |
$142.65 |
| 81002 |
|
48 |
45 |
$99.56 |
| 36415 |
Collection of venous blood by venipuncture |
23 |
23 |
$56.92 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
117 |
109 |
$55.57 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
14 |
12 |
$15.67 |
| 3074F |
|
593 |
525 |
$0.87 |
| 3079F |
|
345 |
313 |
$0.65 |
| 3078F |
|
393 |
361 |
$0.50 |
| 3080F |
|
281 |
252 |
$0.46 |
| 3077F |
|
267 |
240 |
$0.40 |
| 3075F |
|
60 |
58 |
$0.13 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,980 |
1,631 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
74 |
52 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
122 |
88 |
$0.00 |
| 36410 |
|
30 |
28 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
36 |
28 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
17 |
16 |
$0.00 |