| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,485 |
12,125 |
$1.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,497 |
9,965 |
$577K |
| 90677 |
|
213 |
213 |
$51K |
| 90750 |
|
321 |
318 |
$46K |
| 90686 |
|
2,006 |
2,001 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,246 |
3,224 |
$32K |
| 99385 |
|
399 |
395 |
$28K |
| 90746 |
|
480 |
479 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
316 |
316 |
$25K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,308 |
3,288 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
7,949 |
7,738 |
$22K |
| 90834 |
Psychotherapy, 45 minutes with patient |
436 |
382 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,593 |
2,371 |
$20K |
| 99386 |
|
229 |
228 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,109 |
1,099 |
$16K |
| 90670 |
|
80 |
80 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
180 |
180 |
$15K |
| 90715 |
|
395 |
395 |
$12K |
| 99215 |
Prolong outpt/office vis |
97 |
96 |
$12K |
| 91320 |
|
110 |
109 |
$11K |
| 81025 |
|
1,715 |
1,677 |
$11K |
| 0001A |
|
278 |
269 |
$9K |
| 99205 |
Prolong outpt/office vis |
55 |
55 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
81 |
$8K |
| 90732 |
|
79 |
79 |
$8K |
| 96160 |
|
2,352 |
2,333 |
$8K |
| 0124A |
|
218 |
218 |
$7K |
| 87210 |
|
1,563 |
1,539 |
$7K |
| 93000 |
|
887 |
866 |
$7K |
| 0002A |
|
174 |
173 |
$6K |
| 0004A |
|
192 |
192 |
$6K |
| 90679 |
|
27 |
26 |
$5K |
| 99406 |
|
724 |
715 |
$5K |
| 81002 |
|
1,983 |
1,941 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
127 |
122 |
$5K |
| 94010 |
|
275 |
274 |
$4K |
| 90480 |
|
110 |
109 |
$4K |
| 0054A |
|
124 |
124 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
169 |
163 |
$3K |
| 82044 |
|
607 |
604 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
26 |
24 |
$2K |
| 0003A |
|
40 |
40 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
677 |
635 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 90656 |
|
58 |
58 |
$970.19 |
| 36416 |
|
152 |
151 |
$535.92 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$520.05 |
| 90651 |
|
13 |
13 |
$458.68 |
| 0031A |
|
12 |
12 |
$325.99 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
49 |
49 |
$248.58 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
13 |
12 |
$84.55 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$63.68 |
| 82962 |
|
25 |
24 |
$57.54 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
43 |
37 |
$52.82 |
| G0008 |
Administration of influenza virus vaccine |
73 |
73 |
$32.26 |
| 81003 |
|
17 |
16 |
$23.21 |
| 3008F |
|
5,868 |
5,367 |
$0.28 |
| 4004F |
|
323 |
310 |
$0.00 |
| 3078F |
|
2,395 |
2,303 |
$0.00 |
| 3077F |
|
1,302 |
1,238 |
$0.00 |
| 3045F |
|
155 |
154 |
$0.00 |
| 3046F |
|
117 |
117 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| 91312 |
|
57 |
57 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 91300 |
|
28 |
28 |
$0.00 |
| 3079F |
|
2,600 |
2,496 |
$0.00 |
| 1034F |
|
320 |
310 |
$0.00 |
| 3044F |
|
1,198 |
1,182 |
$0.00 |
| 3074F |
|
3,903 |
3,698 |
$0.00 |
| 3080F |
|
1,311 |
1,240 |
$0.00 |
| 3075F |
|
1,117 |
1,088 |
$0.00 |
| 91305 |
|
65 |
65 |
$0.00 |
| 3061F |
|
197 |
197 |
$0.00 |
| 3060F |
|
24 |
24 |
$0.00 |
| 94760 |
|
34 |
31 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
15 |
15 |
$0.00 |