| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,250 |
3,598 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
732 |
664 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
88 |
85 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
49 |
49 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
56 |
$3K |
| 99385 |
|
30 |
30 |
$1K |
| 97802 |
|
831 |
627 |
$816.56 |
| 36415 |
Collection of venous blood by venipuncture |
101 |
96 |
$315.00 |
| H0049 |
Alcohol and/or drug screening |
16 |
13 |
$187.48 |
| 1125F |
|
333 |
265 |
$66.51 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
76 |
47 |
$40.51 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$27.38 |
| 1159F |
|
3,176 |
2,622 |
$0.07 |
| 1160F |
|
3,192 |
2,637 |
$0.01 |
| 96127 |
|
888 |
827 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
872 |
652 |
$0.00 |
| 1126F |
|
487 |
376 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |