| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,154 |
11,497 |
$985K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,062 |
3,702 |
$223K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,515 |
2,992 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
199 |
197 |
$18K |
| 93000 |
|
1,453 |
1,395 |
$11K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
55 |
55 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
88 |
87 |
$8K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
28 |
28 |
$6K |
| 90756 |
|
261 |
260 |
$5K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,103 |
956 |
$5K |
| 99407 |
|
290 |
259 |
$5K |
| 94060 |
|
151 |
149 |
$4K |
| 82947 |
|
1,642 |
1,443 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
347 |
346 |
$3K |
| 99406 |
|
284 |
271 |
$2K |
| 93015 |
|
56 |
56 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,141 |
1,002 |
$2K |
| 90688 |
|
136 |
135 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
598 |
514 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
440 |
415 |
$966.13 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
14 |
$781.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
122 |
122 |
$769.47 |
| 90661 |
|
16 |
16 |
$490.85 |
| J0153 |
Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) |
13 |
13 |
$390.64 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
193 |
177 |
$291.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
20 |
$212.02 |
| 90658 |
|
14 |
14 |
$164.64 |
| 96127 |
|
73 |
73 |
$163.08 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$28.56 |
| 3078F |
|
2,068 |
1,868 |
$0.00 |
| 99072 |
|
108 |
102 |
$0.00 |
| 3077F |
|
274 |
259 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,275 |
1,119 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
905 |
807 |
$0.00 |
| 3075F |
|
943 |
871 |
$0.00 |
| 3074F |
|
1,797 |
1,643 |
$0.00 |
| 3079F |
|
904 |
851 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
26 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
15 |
13 |
$0.00 |