| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,483 |
5,421 |
$317K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,949 |
3,270 |
$84K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
644 |
349 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,571 |
1,284 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
507 |
496 |
$33K |
| 92250 |
|
264 |
262 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
257 |
255 |
$19K |
| 93922 |
|
340 |
339 |
$17K |
| 94060 |
|
400 |
398 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
145 |
144 |
$13K |
| 94729 |
|
400 |
398 |
$13K |
| 94727 |
|
400 |
398 |
$10K |
| 92546 |
|
215 |
211 |
$10K |
| 99401 |
|
332 |
318 |
$8K |
| 90674 |
|
376 |
376 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
70 |
70 |
$6K |
| 93000 |
|
577 |
571 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
97 |
97 |
$6K |
| 99408 |
|
606 |
602 |
$5K |
| 82948 |
|
2,004 |
1,525 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
363 |
363 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,489 |
2,104 |
$4K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
228 |
226 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,867 |
1,792 |
$4K |
| 99385 |
|
32 |
32 |
$3K |
| 99386 |
|
25 |
25 |
$3K |
| 92542 |
|
227 |
224 |
$3K |
| 99490 |
Ccm add 20min |
1,985 |
1,976 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,697 |
2,335 |
$3K |
| 99496 |
|
14 |
12 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
687 |
653 |
$1K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
572 |
542 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
26 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
109 |
104 |
$1K |
| 90656 |
|
55 |
55 |
$716.08 |
| 93976 |
|
12 |
12 |
$712.72 |
| 92547 |
|
231 |
228 |
$614.02 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$482.63 |
| 80053 |
Comprehensive metabolic panel |
72 |
72 |
$410.77 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
32 |
$362.56 |
| 80061 |
Lipid panel |
59 |
59 |
$340.68 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
57 |
57 |
$229.36 |
| 81002 |
|
170 |
169 |
$145.55 |
| 96160 |
|
67 |
67 |
$136.69 |
| G0008 |
Administration of influenza virus vaccine |
36 |
36 |
$105.45 |
| 81003 |
|
61 |
61 |
$70.84 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
16 |
$55.40 |
| 3008F |
|
389 |
387 |
$20.00 |
| J1940 |
Injection, furosemide, up to 20 mg |
13 |
12 |
$16.38 |
| 2022F |
|
206 |
190 |
$8.00 |
| 3074F |
|
1,031 |
922 |
$2.00 |
| 3079F |
|
783 |
714 |
$1.00 |
| 3080F |
|
348 |
316 |
$1.00 |
| 3078F |
|
1,131 |
1,000 |
$1.00 |
| 3077F |
|
623 |
558 |
$1.00 |
| 3075F |
|
612 |
567 |
$0.00 |
| 2000F |
|
633 |
574 |
$0.00 |
| 3044F |
|
33 |
32 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
156 |
156 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
22 |
22 |
$0.00 |
| 1005F |
|
16 |
16 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
77 |
76 |
$0.00 |