| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,088 |
7,692 |
$290K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,872 |
3,173 |
$147K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,261 |
937 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
510 |
399 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
55 |
50 |
$3K |
| 96160 |
|
394 |
350 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
37 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,836 |
2,349 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
139 |
131 |
$2K |
| 3074F |
|
1,770 |
1,371 |
$2K |
| 3078F |
|
1,268 |
979 |
$2K |
| 90686 |
|
289 |
222 |
$2K |
| 1160F |
|
470 |
366 |
$1K |
| 3079F |
|
826 |
657 |
$1K |
| 83037 |
|
298 |
249 |
$851.65 |
| 1159F |
|
347 |
275 |
$795.98 |
| 90688 |
|
104 |
88 |
$604.67 |
| 99173 |
|
115 |
100 |
$532.77 |
| 3008F |
|
383 |
304 |
$371.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
36 |
$342.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
13 |
$302.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$282.75 |
| 90662 |
|
70 |
59 |
$254.23 |
| 3075F |
|
243 |
187 |
$250.00 |
| 3077F |
|
109 |
83 |
$130.00 |
| 3080F |
|
69 |
52 |
$110.00 |
| G0008 |
Administration of influenza virus vaccine |
131 |
109 |
$70.96 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
13 |
12 |
$50.69 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
48 |
40 |
$49.22 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
32 |
26 |
$47.40 |
| 90461 |
|
68 |
27 |
$22.52 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
17 |
12 |
$15.73 |
| 81000 |
|
12 |
12 |
$13.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$0.85 |
| 99080 |
|
638 |
343 |
$0.00 |
| 3288F |
|
32 |
27 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,498 |
1,147 |
$0.00 |
| 90670 |
|
16 |
15 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
16 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
634 |
504 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
32 |
24 |
$0.00 |
| 2000F |
|
82 |
67 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
14 |
12 |
$0.00 |
| 1031F |
|
17 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
12 |
$0.00 |