| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,090 |
36,460 |
$2.48M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,408 |
4,117 |
$335K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,149 |
2,979 |
$281K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,298 |
1,258 |
$138K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,220 |
3,001 |
$122K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,322 |
2,195 |
$120K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
726 |
712 |
$82K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
610 |
601 |
$66K |
| 93000 |
|
5,164 |
4,723 |
$60K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,461 |
2,055 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
468 |
447 |
$45K |
| 99058 |
|
2,455 |
2,299 |
$43K |
| 81002 |
|
30,757 |
26,060 |
$40K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,089 |
1,039 |
$32K |
| 92551 |
|
4,427 |
4,282 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
587 |
517 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
892 |
753 |
$19K |
| 82962 |
|
15,220 |
12,154 |
$14K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
656 |
637 |
$11K |
| 94010 |
|
391 |
363 |
$11K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
57 |
52 |
$7K |
| 81025 |
|
1,452 |
1,373 |
$7K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
501 |
435 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
326 |
303 |
$5K |
| 3044F |
|
4,474 |
3,558 |
$4K |
| 99384 |
|
32 |
26 |
$3K |
| 3074F |
|
33,349 |
28,531 |
$3K |
| 3046F |
|
763 |
617 |
$3K |
| 3079F |
|
23,306 |
20,660 |
$2K |
| 99385 |
|
13 |
12 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 76770 |
|
14 |
13 |
$1K |
| 1055F |
|
5,581 |
5,419 |
$992.95 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
288 |
250 |
$992.59 |
| 3078F |
|
15,775 |
13,971 |
$963.38 |
| 72100 |
|
27 |
26 |
$854.52 |
| 3008F |
|
30,817 |
26,633 |
$848.62 |
| 90670 |
|
235 |
209 |
$846.11 |
| 90658 |
|
1,315 |
1,241 |
$734.76 |
| 3045F |
|
386 |
277 |
$680.00 |
| 3051F |
|
770 |
716 |
$612.00 |
| 90715 |
|
253 |
224 |
$490.73 |
| 3075F |
|
4,413 |
4,163 |
$455.00 |
| 90734 |
|
383 |
368 |
$428.64 |
| 99499 |
|
47,702 |
21,902 |
$387.44 |
| 74018 |
|
15 |
13 |
$362.31 |
| 90649 |
|
466 |
435 |
$343.37 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,490 |
2,359 |
$279.78 |
| 3080F |
|
4,262 |
3,960 |
$244.96 |
| 90620 |
|
190 |
176 |
$244.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
26 |
$231.21 |
| S9452 |
Nutrition classes, non-physician provider, per session |
2,343 |
2,194 |
$218.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
24 |
$196.32 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
265 |
226 |
$151.33 |
| 3052F |
|
342 |
316 |
$151.00 |
| 3077F |
|
5,483 |
5,057 |
$115.01 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
21 |
19 |
$67.65 |
| 90636 |
|
15 |
14 |
$66.73 |
| 99070 |
|
48 |
48 |
$50.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
1,057 |
945 |
$23.99 |
| 91301 |
|
116 |
113 |
$0.07 |
| 99000 |
|
74 |
69 |
$0.00 |