| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,685 |
11,123 |
$259K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,350 |
3,345 |
$182K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,936 |
2,821 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,562 |
2,481 |
$38K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
985 |
983 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
210 |
209 |
$13K |
| 99000 |
|
4,325 |
4,260 |
$13K |
| H0033 |
Oral medication administration, direct observation |
616 |
610 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
677 |
636 |
$5K |
| 81002 |
|
1,716 |
1,686 |
$2K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
384 |
362 |
$900.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
182 |
160 |
$772.39 |
| 81025 |
|
567 |
559 |
$720.86 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
104 |
104 |
$571.67 |
| G9920 |
Screening performed and negative |
259 |
257 |
$177.03 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
96 |
96 |
$131.25 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
146 |
146 |
$108.80 |
| 86580 |
|
260 |
259 |
$81.75 |
| 82962 |
|
110 |
107 |
$78.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
56 |
$39.78 |
| 85018 |
|
79 |
78 |
$31.09 |
| 96127 |
|
261 |
261 |
$26.91 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
55 |
53 |
$22.46 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
148 |
143 |
$9.84 |
| 2010F |
|
3,695 |
3,446 |
$0.16 |
| 3074F |
|
2,286 |
2,177 |
$0.10 |
| 3078F |
|
2,281 |
2,155 |
$0.10 |
| 1111F |
|
2,347 |
2,201 |
$0.08 |
| 3008F |
|
2,087 |
1,947 |
$0.06 |
| 3037F |
|
303 |
294 |
$0.05 |
| 1160F |
|
1,266 |
1,210 |
$0.04 |
| 1159F |
|
1,344 |
1,282 |
$0.03 |
| 3044F |
|
380 |
358 |
$0.02 |
| 1125F |
|
322 |
310 |
$0.01 |
| 3079F |
|
1,168 |
1,134 |
$0.01 |
| 3075F |
|
738 |
712 |
$0.01 |
| 1126F |
|
208 |
206 |
$0.01 |
| 4010F |
|
209 |
208 |
$0.01 |
| 3077F |
|
1,021 |
980 |
$0.01 |
| 3725F |
|
192 |
191 |
$0.01 |
| 3080F |
|
562 |
534 |
$0.00 |
| 3017F |
|
32 |
32 |
$0.00 |
| 3014F |
|
25 |
25 |
$0.00 |
| 81003 |
|
14 |
14 |
$0.00 |