| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,865 |
13,088 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
3,006 |
2,980 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
612 |
612 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
276 |
276 |
$2K |
| 97803 |
|
557 |
557 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
91 |
91 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
740 |
740 |
$895.00 |
| 3008F |
|
2,031 |
2,031 |
$441.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,093 |
2,017 |
$292.87 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
119 |
119 |
$237.74 |
| 3074F |
|
4,970 |
4,626 |
$167.10 |
| 99000 |
|
314 |
312 |
$166.76 |
| 90656 |
|
259 |
259 |
$146.00 |
| 90658 |
|
12 |
12 |
$90.30 |
| 3075F |
|
2,955 |
2,796 |
$69.40 |
| 3078F |
|
5,852 |
5,384 |
$50.10 |
| 3079F |
|
2,818 |
2,686 |
$47.98 |
| 90649 |
|
12 |
12 |
$40.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
59 |
$32.58 |
| 82947 |
|
194 |
188 |
$31.57 |
| 94664 |
|
12 |
12 |
$15.48 |
| 3077F |
|
1,140 |
1,092 |
$12.70 |
| 99173 |
|
12 |
12 |
$12.48 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$10.40 |
| 86580 |
|
14 |
14 |
$8.08 |
| 3080F |
|
330 |
319 |
$3.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
220 |
191 |
$1.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
934 |
893 |
$0.48 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
41 |
39 |
$0.30 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15 |
13 |
$0.30 |
| 88150 |
|
25 |
25 |
$0.00 |
| 3044F |
|
428 |
427 |
$0.00 |
| 1111F |
|
78 |
74 |
$0.00 |
| 3049F |
|
460 |
460 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
56 |
54 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
51 |
51 |
$0.00 |
| 3050F |
|
282 |
281 |
$0.00 |
| 1159F |
|
13 |
12 |
$0.00 |
| 3015F |
|
45 |
45 |
$0.00 |