| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,350 |
15,578 |
$840K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,653 |
7,555 |
$264K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
602 |
542 |
$27K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,437 |
1,984 |
$22K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
289 |
274 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
163 |
161 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
126 |
120 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
508 |
471 |
$10K |
| 90682 |
|
220 |
217 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
465 |
439 |
$6K |
| 20610 |
|
120 |
113 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
78 |
$5K |
| 90686 |
|
286 |
274 |
$5K |
| 99407 |
|
278 |
236 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
405 |
172 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
64 |
$2K |
| 0001A |
|
51 |
49 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
282 |
231 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
136 |
134 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
110 |
$1K |
| 0002A |
|
39 |
34 |
$1K |
| 0031A |
|
33 |
30 |
$695.83 |
| 73564 |
|
30 |
19 |
$440.78 |
| 81025 |
|
81 |
73 |
$369.65 |
| 73110 |
|
16 |
12 |
$270.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
78 |
50 |
$235.54 |
| 87210 |
|
57 |
54 |
$176.28 |
| 86580 |
|
17 |
12 |
$64.13 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
34 |
30 |
$51.69 |
| 99406 |
|
15 |
12 |
$33.68 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
220 |
176 |
$6.25 |
| 91300 |
|
153 |
120 |
$0.00 |
| 83037 |
|
24 |
24 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
70 |
68 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
29 |
29 |
$0.00 |
| 91303 |
|
38 |
30 |
$0.00 |