| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,486 |
7,400 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,806 |
4,170 |
$151K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,118 |
949 |
$11K |
| 99215 |
Prolong outpt/office vis |
162 |
147 |
$7K |
| 99490 |
Ccm add 20min |
424 |
409 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,988 |
2,644 |
$2K |
| 99454 |
|
349 |
340 |
$2K |
| 99457 |
|
369 |
358 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
530 |
462 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
966 |
872 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
13 |
$1K |
| 90686 |
|
180 |
159 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
66 |
$862.78 |
| 90756 |
|
92 |
87 |
$792.24 |
| 99458 |
|
103 |
99 |
$690.57 |
| 1160F |
|
643 |
569 |
$550.00 |
| 1159F |
|
639 |
566 |
$550.00 |
| 99442 |
|
32 |
18 |
$531.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$256.79 |
| 96127 |
|
107 |
99 |
$186.77 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
178 |
151 |
$170.56 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
66 |
60 |
$170.35 |
| 71045 |
Radiologic examination, chest; single view |
28 |
25 |
$117.69 |
| 3074F |
|
348 |
314 |
$74.24 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
31 |
29 |
$58.25 |
| 3078F |
|
361 |
324 |
$50.00 |
| 3079F |
|
34 |
30 |
$40.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
691 |
607 |
$37.62 |
| G0008 |
Administration of influenza virus vaccine |
157 |
150 |
$14.46 |
| 3008F |
|
642 |
569 |
$4.24 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
60 |
53 |
$0.00 |
| 1170F |
|
24 |
24 |
$0.00 |
| 3075F |
|
19 |
18 |
$0.00 |
| 1125F |
|
23 |
23 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |