| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,330 |
6,759 |
$663K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,718 |
3,944 |
$267K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
700 |
202 |
$216K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,222 |
1,032 |
$130K |
| 99385 |
|
812 |
716 |
$79K |
| 99386 |
|
418 |
350 |
$43K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,655 |
1,320 |
$40K |
| 94060 |
|
850 |
697 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
431 |
396 |
$38K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
98 |
95 |
$30K |
| 99215 |
Prolong outpt/office vis |
248 |
227 |
$29K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
1,946 |
1,697 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
274 |
256 |
$26K |
| 95117 |
|
1,854 |
716 |
$16K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,943 |
1,646 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
975 |
795 |
$14K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
869 |
748 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
82 |
$7K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
623 |
546 |
$6K |
| 96127 |
|
2,076 |
1,756 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
79 |
45 |
$4K |
| 93000 |
|
255 |
211 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
145 |
111 |
$2K |
| 90686 |
|
138 |
106 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
33 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
68 |
39 |
$921.77 |
| 81002 |
|
445 |
347 |
$420.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
48 |
$384.71 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
15 |
13 |
$351.60 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
12 |
$320.31 |
| 36415 |
Collection of venous blood by venipuncture |
87 |
81 |
$194.54 |
| 82962 |
|
175 |
142 |
$151.37 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21 |
18 |
$150.68 |
| 80305 |
|
18 |
15 |
$93.64 |
| 92551 |
|
17 |
15 |
$90.19 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
14 |
$85.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$8.48 |
| 99173 |
|
68 |
62 |
$0.56 |
| 99000 |
|
130 |
117 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
37 |
20 |
$0.00 |
| 99406 |
|
14 |
14 |
$0.00 |