| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,840 |
7,959 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,016 |
3,840 |
$26K |
| 90686 |
|
470 |
469 |
$6K |
| G9920 |
Screening performed and negative |
744 |
739 |
$5K |
| 0134A |
|
87 |
87 |
$3K |
| 96156 |
|
63 |
63 |
$3K |
| 92551 |
|
896 |
896 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,398 |
1,215 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
450 |
445 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
451 |
423 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
491 |
459 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
133 |
133 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
68 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$1K |
| 93000 |
|
493 |
488 |
$974.35 |
| 0064A |
|
22 |
22 |
$880.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,043 |
1,026 |
$786.17 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
58 |
58 |
$693.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
112 |
56 |
$386.17 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
37 |
31 |
$308.69 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
107 |
107 |
$305.61 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
136 |
132 |
$261.36 |
| 81002 |
|
1,780 |
1,736 |
$258.90 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$230.05 |
| 90662 |
|
12 |
12 |
$179.61 |
| 99173 |
|
181 |
181 |
$111.72 |
| 85018 |
|
97 |
95 |
$106.10 |
| 99000 |
|
13 |
13 |
$47.19 |
| 90656 |
|
51 |
51 |
$44.81 |
| 81025 |
|
12 |
12 |
$22.40 |
| 90651 |
|
13 |
13 |
$9.00 |
| 82962 |
|
13 |
13 |
$3.30 |
| 3074F |
|
186 |
179 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
68 |
68 |
$0.00 |
| 1036F |
|
135 |
133 |
$0.00 |
| 3079F |
|
57 |
55 |
$0.00 |
| 86580 |
|
27 |
26 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
333 |
332 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
130 |
127 |
$0.00 |
| 3078F |
|
174 |
166 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$0.00 |
| 1159F |
|
80 |
78 |
$0.00 |
| 1160F |
|
49 |
49 |
$0.00 |