| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,282 |
28,580 |
$1.63M |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
5,341 |
5,020 |
$291K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,506 |
3,244 |
$226K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,034 |
3,136 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
386 |
335 |
$30K |
| 36415 |
Collection of venous blood by venipuncture |
8,693 |
8,007 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
880 |
807 |
$16K |
| 93000 |
|
1,205 |
1,105 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
263 |
239 |
$7K |
| 90688 |
|
624 |
572 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
214 |
197 |
$4K |
| 90756 |
|
118 |
117 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,167 |
1,612 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
20 |
20 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
307 |
280 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
17 |
$2K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
12 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
106 |
93 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
36 |
36 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
42 |
39 |
$1K |
| 90750 |
|
26 |
24 |
$938.42 |
| 81025 |
|
128 |
119 |
$653.04 |
| 81003 |
|
384 |
352 |
$529.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
58 |
$523.72 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
73 |
59 |
$335.08 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
14 |
$308.45 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
25 |
$254.42 |
| 36410 |
|
58 |
56 |
$247.52 |
| 80305 |
|
16 |
16 |
$144.06 |
| 90656 |
|
52 |
52 |
$136.74 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$113.25 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
81 |
74 |
$111.96 |
| 90658 |
|
20 |
18 |
$90.70 |
| 3074F |
|
1,749 |
1,456 |
$50.00 |
| 3077F |
|
376 |
332 |
$20.00 |
| 3079F |
|
791 |
700 |
$0.00 |
| 99000 |
|
139 |
125 |
$0.00 |
| 3075F |
|
311 |
291 |
$0.00 |
| 1125F |
|
139 |
127 |
$0.00 |
| 3080F |
|
253 |
222 |
$0.00 |
| 1126F |
|
788 |
651 |
$0.00 |
| 1159F |
|
1,164 |
952 |
$0.00 |
| 1160F |
|
1,161 |
950 |
$0.00 |
| 3078F |
|
1,368 |
1,167 |
$0.00 |