| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,484 |
6,959 |
$783K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,579 |
3,761 |
$274K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,754 |
2,060 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
439 |
399 |
$44K |
| 99385 |
|
385 |
336 |
$42K |
| 94010 |
|
1,405 |
1,213 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
404 |
367 |
$37K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
63 |
55 |
$24K |
| 93000 |
|
1,786 |
1,580 |
$23K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
119 |
114 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
82 |
79 |
$10K |
| 0513F |
|
1,083 |
842 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
471 |
360 |
$8K |
| 94664 |
|
584 |
496 |
$8K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
578 |
403 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
110 |
102 |
$6K |
| 90686 |
|
451 |
341 |
$6K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
580 |
405 |
$5K |
| 92570 |
|
160 |
145 |
$4K |
| 94060 |
|
55 |
49 |
$3K |
| 93970 |
|
16 |
15 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
15 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
75 |
70 |
$2K |
| 81002 |
|
454 |
389 |
$638.67 |
| 81003 |
|
645 |
539 |
$612.41 |
| 81025 |
|
131 |
123 |
$513.71 |
| 99407 |
|
51 |
49 |
$389.12 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
12 |
$197.40 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
67 |
58 |
$143.81 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
86 |
77 |
$10.79 |
| 3077F |
|
16 |
13 |
$0.00 |
| 1220F |
|
322 |
219 |
$0.00 |
| 2010F |
|
386 |
279 |
$0.00 |
| 3074F |
|
200 |
151 |
$0.00 |
| 3080F |
|
50 |
27 |
$0.00 |
| 3079F |
|
94 |
80 |
$0.00 |
| 1030F |
|
122 |
47 |
$0.00 |
| 3075F |
|
33 |
13 |
$0.00 |