| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,638 |
9,602 |
$839K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,060 |
5,186 |
$334K |
| 99215 |
Prolong outpt/office vis |
951 |
783 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
427 |
388 |
$52K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
469 |
424 |
$44K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
425 |
383 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
183 |
179 |
$15K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,558 |
1,449 |
$11K |
| 93000 |
|
797 |
694 |
$7K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,551 |
1,445 |
$7K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
125 |
121 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
91 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
40 |
27 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
27 |
24 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
86 |
83 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
207 |
133 |
$3K |
| 99205 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
128 |
97 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 99401 |
|
102 |
87 |
$1K |
| 99406 |
|
144 |
98 |
$391.95 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
102 |
89 |
$380.38 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
18 |
12 |
$209.41 |
| 99408 |
|
41 |
39 |
$188.88 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19 |
13 |
$41.00 |