| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,535 |
7,309 |
$618K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,842 |
6,617 |
$416K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,194 |
1,191 |
$124K |
| 99442 |
|
1,259 |
1,166 |
$69K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
617 |
611 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
199 |
199 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
313 |
311 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
5,126 |
4,996 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
401 |
386 |
$16K |
| 99385 |
|
109 |
109 |
$10K |
| 99215 |
Prolong outpt/office vis |
78 |
77 |
$8K |
| 99441 |
|
202 |
195 |
$7K |
| 90682 |
|
69 |
69 |
$4K |
| 99406 |
|
584 |
521 |
$4K |
| 93000 |
|
479 |
469 |
$4K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
195 |
191 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
67 |
$3K |
| 99386 |
|
25 |
25 |
$3K |
| 99490 |
Ccm add 20min |
98 |
98 |
$3K |
| 99458 |
|
58 |
58 |
$2K |
| 99443 |
|
35 |
30 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
345 |
321 |
$2K |
| 99457 |
|
90 |
85 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
211 |
211 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
70 |
$1K |
| 96127 |
|
423 |
408 |
$983.13 |
| 99453 |
|
42 |
42 |
$440.68 |
| 82947 |
|
163 |
161 |
$365.34 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
16 |
$326.62 |
| 99000 |
|
1,800 |
1,732 |
$279.03 |
| 82962 |
|
113 |
102 |
$236.90 |
| 99454 |
|
13 |
12 |
$223.23 |
| G0008 |
Administration of influenza virus vaccine |
43 |
43 |
$183.73 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
42 |
39 |
$55.52 |
| 81003 |
|
12 |
12 |
$19.19 |
| 3008F |
|
10,044 |
9,623 |
$11.92 |
| 3074F |
|
5,971 |
5,782 |
$11.92 |
| 3078F |
|
4,548 |
4,425 |
$11.92 |
| 1159F |
|
7,417 |
6,675 |
$11.41 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
15 |
$7.48 |
| 3075F |
|
2,106 |
2,069 |
$6.00 |
| 3079F |
|
4,189 |
4,090 |
$6.00 |
| 3080F |
|
1,334 |
1,312 |
$0.00 |
| 1036F |
|
8,489 |
7,694 |
$0.00 |
| 1126F |
|
1,911 |
1,821 |
$0.00 |
| 1125F |
|
238 |
228 |
$0.00 |
| 1034F |
|
2,174 |
2,012 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
91 |
87 |
$0.00 |
| 2000F |
|
390 |
390 |
$0.00 |
| 1170F |
|
71 |
67 |
$0.00 |
| 3044F |
|
24 |
24 |
$0.00 |
| 3077F |
|
2,047 |
2,008 |
$0.00 |
| 3725F |
|
6,472 |
5,774 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
55 |
54 |
$0.00 |