| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,431 |
10,116 |
$688K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,862 |
5,268 |
$262K |
| 99215 |
Prolong outpt/office vis |
1,951 |
1,682 |
$149K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,237 |
1,206 |
$118K |
| 99401 |
|
1,414 |
1,320 |
$40K |
| 99205 |
Prolong outpt/office vis |
300 |
292 |
$34K |
| 99337 |
|
1,764 |
1,194 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,812 |
1,449 |
$28K |
| 99310 |
Prolong nursin fac eval 15m |
507 |
462 |
$15K |
| 95816 |
|
60 |
58 |
$13K |
| 99336 |
|
660 |
547 |
$13K |
| 99442 |
|
193 |
170 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
110 |
110 |
$9K |
| 99328 |
|
266 |
242 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
238 |
223 |
$7K |
| 99383 |
|
58 |
58 |
$5K |
| 99441 |
|
91 |
83 |
$3K |
| 93975 |
|
18 |
17 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
840 |
768 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
26 |
$2K |
| 99384 |
|
14 |
14 |
$1K |
| 99382 |
|
19 |
16 |
$1K |
| 93880 |
|
17 |
17 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
143 |
130 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19 |
14 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$934.19 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$696.76 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
43 |
40 |
$664.48 |
| 96160 |
|
293 |
280 |
$643.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
14 |
$531.62 |
| 99349 |
|
56 |
56 |
$370.83 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
18 |
15 |
$348.32 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
271 |
249 |
$166.91 |
| 99496 |
|
76 |
63 |
$160.74 |
| 99421 |
|
15 |
15 |
$141.69 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
112 |
91 |
$134.25 |
| 94760 |
|
511 |
324 |
$95.39 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
54 |
47 |
$85.21 |
| 96127 |
|
13 |
13 |
$1.32 |
| 3074F |
|
180 |
168 |
$0.01 |
| 3078F |
|
100 |
97 |
$0.00 |
| 99497 |
|
13 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
88 |
76 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
13 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 1126F |
|
113 |
102 |
$0.00 |
| 1125F |
|
68 |
63 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 3079F |
|
14 |
13 |
$0.00 |