| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
4,107 |
197 |
$349K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,944 |
5,052 |
$197K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,953 |
2,336 |
$107K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
527 |
37 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,393 |
1,502 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,569 |
646 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
854 |
622 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
759 |
593 |
$6K |
| 1159F |
|
5,883 |
4,221 |
$3K |
| 1125F |
|
5,275 |
3,851 |
$3K |
| 1160F |
|
5,236 |
3,738 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,909 |
1,510 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
30 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
28 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
181 |
125 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
38 |
$2K |
| 90688 |
|
302 |
247 |
$2K |
| 81001 |
|
1,173 |
905 |
$2K |
| 3008F |
|
5,176 |
3,613 |
$2K |
| 99215 |
Prolong outpt/office vis |
27 |
20 |
$1K |
| 3078F |
|
2,082 |
1,523 |
$1K |
| 3074F |
|
2,155 |
1,538 |
$1K |
| 96127 |
|
369 |
270 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
841 |
667 |
$839.40 |
| 90756 |
|
100 |
90 |
$759.73 |
| 3079F |
|
1,124 |
856 |
$732.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
28 |
$668.73 |
| 95117 |
|
97 |
24 |
$640.60 |
| 94760 |
|
3,455 |
2,428 |
$595.13 |
| 95115 |
|
70 |
25 |
$571.20 |
| 1126F |
|
366 |
290 |
$500.05 |
| 3077F |
|
734 |
583 |
$420.08 |
| 90686 |
|
74 |
53 |
$314.39 |
| 3075F |
|
698 |
553 |
$253.79 |
| 3080F |
|
341 |
277 |
$240.02 |
| G0008 |
Administration of influenza virus vaccine |
81 |
74 |
$231.16 |
| 85018 |
|
123 |
89 |
$209.77 |
| 96160 |
|
109 |
77 |
$208.96 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
476 |
389 |
$189.70 |
| 99401 |
|
16 |
14 |
$158.01 |
| 99173 |
|
29 |
23 |
$98.10 |
| 80305 |
|
20 |
17 |
$65.48 |
| 99406 |
|
13 |
12 |
$7.42 |
| 36416 |
|
29 |
28 |
$0.08 |
| 1032F |
|
2,985 |
2,095 |
$0.00 |
| 3288F |
|
1,280 |
948 |
$0.00 |
| 1033F |
|
3,376 |
2,414 |
$0.00 |
| 1091F |
|
38 |
34 |
$0.00 |
| 0521F |
|
1,637 |
1,254 |
$0.00 |
| 1090F |
|
3,692 |
2,684 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
21 |
17 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
21 |
17 |
$0.00 |
| 1100F |
|
17 |
13 |
$0.00 |
| 96116 |
|
13 |
12 |
$0.00 |
| 1101F |
|
4,103 |
2,982 |
$0.00 |
| 0509F |
|
106 |
77 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
22 |
20 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
22 |
18 |
$0.00 |