| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,971 |
16,210 |
$247K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,949 |
4,942 |
$206K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,402 |
3,359 |
$104K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,467 |
1,464 |
$91K |
| 17360 |
|
1,971 |
1,836 |
$85K |
| 10040 |
|
2,847 |
2,602 |
$49K |
| 17110 |
|
526 |
524 |
$29K |
| 11901 |
|
227 |
217 |
$6K |
| 17111 |
|
52 |
51 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
379 |
367 |
$2K |
| 11900 |
|
91 |
90 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
773 |
698 |
$1K |
| 11102 |
|
25 |
25 |
$1K |
| 99443 |
|
106 |
82 |
$1K |
| 11104 |
|
15 |
15 |
$783.06 |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$700.36 |
| 11302 |
|
15 |
15 |
$508.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
79 |
$294.00 |
| 3078F |
|
4,276 |
3,840 |
$261.20 |
| 3074F |
|
4,035 |
3,619 |
$212.50 |
| 92081 |
|
240 |
237 |
$200.08 |
| 85018 |
|
282 |
280 |
$151.53 |
| 81002 |
|
700 |
699 |
$139.83 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
172 |
136 |
$125.64 |
| 93000 |
|
27 |
24 |
$116.82 |
| 92551 |
|
68 |
68 |
$101.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
152 |
137 |
$83.19 |
| 3077F |
|
833 |
762 |
$67.40 |
| 99384 |
|
12 |
12 |
$65.12 |
| 90686 |
|
30 |
30 |
$64.00 |
| 99000 |
|
755 |
734 |
$56.46 |
| 3079F |
|
944 |
885 |
$45.00 |
| 99442 |
|
39 |
30 |
$41.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
52 |
49 |
$33.11 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
522 |
486 |
$30.50 |
| 3075F |
|
660 |
630 |
$26.40 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,161 |
1,023 |
$9.90 |
| 3008F |
|
25 |
25 |
$8.40 |
| 3080F |
|
273 |
253 |
$8.10 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,353 |
1,161 |
$7.50 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$0.00 |