| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,593 |
16,312 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,693 |
9,318 |
$62K |
| 92552 |
|
1,335 |
1,332 |
$36K |
| G9920 |
Screening performed and negative |
604 |
603 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,901 |
8,290 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
160 |
157 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,359 |
3,348 |
$16K |
| 90686 |
|
636 |
630 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
108 |
108 |
$9K |
| 81002 |
|
5,092 |
4,978 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,503 |
1,375 |
$8K |
| 90750 |
|
52 |
52 |
$8K |
| 96127 |
|
1,035 |
1,032 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
79 |
79 |
$6K |
| 99173 |
|
930 |
928 |
$6K |
| 85018 |
|
2,928 |
2,902 |
$5K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,763 |
1,747 |
$4K |
| 90715 |
|
73 |
73 |
$2K |
| 90656 |
|
85 |
85 |
$2K |
| 0011A |
|
48 |
48 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
52 |
$2K |
| 90651 |
|
42 |
42 |
$2K |
| 0012A |
|
35 |
35 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
118 |
110 |
$946.88 |
| 99188 |
|
27 |
27 |
$729.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
95 |
95 |
$559.71 |
| 90670 |
|
12 |
12 |
$556.58 |
| 90653 |
|
41 |
41 |
$383.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
87 |
83 |
$332.69 |
| 0002A |
|
13 |
13 |
$312.29 |
| 90694 |
|
36 |
36 |
$304.56 |
| 90662 |
|
12 |
12 |
$275.67 |
| 90716 |
|
12 |
12 |
$216.00 |
| 0001A |
|
13 |
13 |
$186.34 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$76.87 |
| 81025 |
|
14 |
14 |
$39.20 |
| 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) |
68 |
67 |
$33.22 |
| 82270 |
|
12 |
12 |
$21.06 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
82 |
82 |
$3.94 |
| 3078F |
|
325 |
316 |
$0.00 |
| 3077F |
|
30 |
27 |
$0.00 |
| 99499 |
|
39 |
39 |
$0.00 |
| 3044F |
|
57 |
57 |
$0.00 |
| 3074F |
|
322 |
314 |
$0.00 |
| 3079F |
|
38 |
37 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
49 |
49 |
$0.00 |
| 1036F |
|
292 |
280 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$0.00 |