| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,457 |
1,186 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
333 |
285 |
$10K |
| 99492 |
|
99 |
92 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
408 |
340 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
181 |
156 |
$3K |
| 87428 |
|
64 |
59 |
$2K |
| 99493 |
|
38 |
35 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
243 |
163 |
$2K |
| 99483 |
Prolong outpt/office vis |
16 |
16 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
251 |
239 |
$936.06 |
| 99487 |
Ccm add 20min |
293 |
256 |
$614.03 |
| 99221 |
|
37 |
25 |
$606.70 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
87 |
75 |
$525.81 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
112 |
78 |
$481.93 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
33 |
25 |
$381.28 |
| 90674 |
|
18 |
18 |
$368.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$329.88 |
| 99497 |
|
16 |
14 |
$248.10 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
178 |
167 |
$95.40 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
14 |
$58.46 |
| 81003 |
|
17 |
14 |
$0.45 |
| 3079F |
|
103 |
94 |
$0.41 |
| 3077F |
|
73 |
68 |
$0.34 |
| 3074F |
|
53 |
46 |
$0.23 |
| 3078F |
|
39 |
39 |
$0.17 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |