| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,673 |
3,241 |
$370K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,664 |
3,260 |
$262K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,918 |
685 |
$127K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,509 |
2,182 |
$111K |
| 99385 |
|
491 |
485 |
$55K |
| 99222 |
Initial hospital care, per day, moderate complexity |
502 |
479 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
251 |
250 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
206 |
206 |
$23K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
467 |
446 |
$22K |
| 99386 |
|
94 |
93 |
$12K |
| 99442 |
|
153 |
147 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
60 |
60 |
$3K |
| 99215 |
Prolong outpt/office vis |
21 |
21 |
$3K |
| 99406 |
|
282 |
264 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 96127 |
|
350 |
345 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
104 |
82 |
$904.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
38 |
$592.85 |
| 90686 |
|
27 |
27 |
$538.29 |
| 90656 |
|
25 |
25 |
$486.65 |
| 81002 |
|
166 |
166 |
$455.44 |
| 90756 |
|
13 |
13 |
$396.05 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
256 |
199 |
$345.33 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
40 |
40 |
$258.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
167 |
162 |
$108.84 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$90.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
145 |
138 |
$15.94 |
| 3074F |
|
4,605 |
4,165 |
$3.39 |
| 3078F |
|
2,896 |
2,693 |
$2.31 |
| 3079F |
|
2,525 |
2,370 |
$1.51 |
| 3075F |
|
914 |
886 |
$0.48 |
| 3080F |
|
672 |
638 |
$0.42 |
| 3077F |
|
544 |
511 |
$0.34 |
| 1160F |
|
3,800 |
3,179 |
$0.02 |
| 1159F |
|
3,799 |
3,178 |
$0.02 |
| 1036F |
|
1,277 |
946 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
15 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
41 |
41 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
40 |
39 |
$0.00 |
| 1126F |
|
35 |
34 |
$0.00 |