| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,536 |
988 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,553 |
2,134 |
$13K |
| 99442 |
|
633 |
577 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
86 |
$442.84 |
| 99441 |
|
86 |
84 |
$263.21 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$105.03 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
121 |
112 |
$84.38 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
726 |
486 |
$25.56 |
| 93000 |
|
386 |
354 |
$21.50 |
| 82962 |
|
158 |
29 |
$2.23 |
| 36415 |
Collection of venous blood by venipuncture |
897 |
764 |
$2.09 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
54 |
47 |
$0.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
448 |
269 |
$0.11 |
| 1090F |
|
883 |
471 |
$0.00 |
| 82947 |
|
436 |
345 |
$0.00 |
| 1160F |
|
677 |
591 |
$0.00 |
| 1158F |
|
469 |
449 |
$0.00 |
| 3078F |
|
474 |
371 |
$0.00 |
| 81002 |
|
199 |
176 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
950 |
532 |
$0.00 |
| 1159F |
|
610 |
552 |
$0.00 |
| 99499 |
|
2,527 |
1,290 |
$0.00 |
| 3288F |
|
956 |
543 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
29 |
$0.00 |
| 3017F |
|
65 |
60 |
$0.00 |
| 1170F |
|
506 |
479 |
$0.00 |
| 3014F |
|
45 |
44 |
$0.00 |
| 0012A |
|
31 |
30 |
$0.00 |
| 1126F |
|
244 |
231 |
$0.00 |
| 3008F |
|
2,745 |
1,792 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
306 |
124 |
$0.00 |
| 3074F |
|
405 |
376 |
$0.00 |
| 1111F |
|
280 |
227 |
$0.00 |
| 94760 |
|
318 |
254 |
$0.00 |
| 1125F |
|
304 |
263 |
$0.00 |
| 99385 |
|
70 |
70 |
$0.00 |
| 2010F |
|
217 |
28 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
17 |
12 |
$0.00 |
| 1157F |
|
32 |
30 |
$0.00 |
| 3072F |
|
21 |
17 |
$0.00 |
| 91301 |
|
60 |
59 |
$0.00 |
| 0011A |
|
30 |
29 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
91 |
14 |
$0.00 |