| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,211 |
6,896 |
$544K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,234 |
5,752 |
$308K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
294 |
292 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
224 |
222 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
465 |
446 |
$14K |
| 99442 |
|
133 |
122 |
$5K |
| 20610 |
|
101 |
89 |
$4K |
| 99215 |
Prolong outpt/office vis |
30 |
30 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
325 |
323 |
$3K |
| 99406 |
|
257 |
241 |
$2K |
| 90686 |
|
157 |
155 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
203 |
200 |
$2K |
| 90756 |
|
52 |
52 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
142 |
136 |
$853.42 |
| 73564 |
|
16 |
15 |
$490.10 |
| 3074F |
|
144 |
138 |
$380.00 |
| 3078F |
|
70 |
68 |
$260.00 |
| 99441 |
|
13 |
13 |
$229.09 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
27 |
$217.92 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
66 |
64 |
$88.13 |
| 94760 |
|
84 |
78 |
$71.31 |
| 3079F |
|
13 |
12 |
$40.00 |
| 99080 |
|
352 |
337 |
$0.00 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
88 |
86 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
460 |
439 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
772 |
760 |
$0.00 |
| 3008F |
|
362 |
345 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
314 |
290 |
$0.00 |
| 1111F |
|
100 |
91 |
$0.00 |