| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,948 |
1,851 |
$261K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,894 |
1,810 |
$254K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,224 |
1,162 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,215 |
1,854 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,778 |
1,528 |
$66K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
293 |
276 |
$39K |
| 99381 |
|
41 |
37 |
$6K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
89 |
89 |
$977.32 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
46 |
$450.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
27 |
26 |
$58.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$52.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,013 |
886 |
$38.00 |
| 96127 |
|
187 |
164 |
$27.78 |
| 90633 |
|
219 |
208 |
$21.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
329 |
289 |
$2.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,288 |
1,144 |
$2.49 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
306 |
269 |
$0.35 |
| 90723 |
|
466 |
437 |
$0.00 |
| 90677 |
|
253 |
248 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
17 |
$0.00 |
| 90698 |
|
29 |
27 |
$0.00 |
| 90716 |
|
134 |
127 |
$0.00 |
| 90697 |
|
101 |
98 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
18 |
15 |
$0.00 |
| 90670 |
|
1,000 |
953 |
$0.00 |
| 90707 |
|
116 |
111 |
$0.00 |
| 90648 |
|
717 |
681 |
$0.00 |
| 90681 |
|
404 |
384 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
65 |
63 |
$0.00 |
| 90671 |
|
14 |
12 |
$0.00 |
| 90700 |
|
27 |
26 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$0.00 |