| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,037 |
2,659 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
852 |
654 |
$26K |
| 90740 |
|
137 |
117 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
78 |
71 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
720 |
451 |
$3K |
| 99457 |
|
150 |
147 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
162 |
133 |
$2K |
| 99442 |
|
37 |
30 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
283 |
144 |
$174.07 |
| 93000 |
|
27 |
26 |
$152.10 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
15 |
14 |
$48.66 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
41 |
37 |
$43.50 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
15 |
14 |
$32.88 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
96 |
45 |
$22.52 |
| 99406 |
|
15 |
12 |
$11.88 |
| 90686 |
|
18 |
13 |
$0.05 |
| 99490 |
Ccm add 20min |
48 |
45 |
$0.00 |
| 99497 |
|
16 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
25 |
$0.00 |