| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,677 |
5,738 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
777 |
713 |
$23K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
402 |
382 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,986 |
1,819 |
$8K |
| 69210 |
|
741 |
732 |
$7K |
| 10060 |
|
248 |
239 |
$5K |
| 92551 |
|
822 |
804 |
$4K |
| 90688 |
|
416 |
415 |
$3K |
| 93000 |
|
184 |
179 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
686 |
676 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
205 |
205 |
$840.62 |
| 20610 |
|
13 |
13 |
$274.74 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
242 |
237 |
$228.00 |
| 88150 |
|
25 |
25 |
$225.09 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
145 |
138 |
$210.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
195 |
195 |
$162.00 |
| J7607 |
Levalbuterol, inhalation solution, compounded product, administered through dme, concentrated form, 0.5 mg |
1,503 |
1,367 |
$162.00 |
| 86580 |
|
51 |
51 |
$142.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
105 |
105 |
$139.50 |
| 17110 |
|
220 |
202 |
$98.78 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
653 |
619 |
$0.00 |
| 3074F |
|
358 |
357 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
486 |
486 |
$0.00 |
| 3008F |
|
442 |
441 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
44 |
44 |
$0.00 |
| 3072F |
|
12 |
12 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 3078F |
|
359 |
358 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
40 |
40 |
$0.00 |
| 81002 |
|
45 |
45 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
20 |
$0.00 |
| 99173 |
|
21 |
21 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
44 |
44 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |