| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,821 |
11,608 |
$560K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,371 |
14,927 |
$558K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
486 |
451 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
563 |
522 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,426 |
1,926 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
276 |
262 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
744 |
667 |
$14K |
| 99490 |
Ccm add 20min |
4,232 |
4,199 |
$10K |
| 93000 |
|
913 |
821 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
135 |
129 |
$7K |
| 94060 |
|
279 |
255 |
$6K |
| 90756 |
|
316 |
263 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
350 |
282 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
35 |
26 |
$2K |
| 90674 |
|
123 |
118 |
$2K |
| 94010 |
|
100 |
86 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
47 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,388 |
1,237 |
$772.68 |
| 92551 |
|
83 |
61 |
$496.58 |
| 0011A |
|
27 |
26 |
$356.24 |
| 0012A |
|
22 |
22 |
$259.56 |
| 85018 |
|
108 |
79 |
$186.74 |
| 82962 |
|
138 |
120 |
$158.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$147.00 |
| 99173 |
|
98 |
61 |
$115.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
23 |
$112.50 |
| 88142 |
|
28 |
15 |
$96.16 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
448 |
362 |
$52.31 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
31 |
28 |
$51.98 |
| 81003 |
|
37 |
33 |
$47.48 |
| 82570 |
|
14 |
13 |
$30.90 |
| 36416 |
|
135 |
78 |
$7.59 |
| 81000 |
|
23 |
12 |
$6.32 |
| 90461 |
|
12 |
12 |
$5.00 |
| 3080F |
|
2,273 |
1,988 |
$0.00 |
| 3079F |
|
4,632 |
4,037 |
$0.00 |
| 1170F |
|
1,670 |
1,401 |
$0.00 |
| 3075F |
|
2,580 |
2,324 |
$0.00 |
| 3074F |
|
9,535 |
7,839 |
$0.00 |
| 1125F |
|
4,393 |
3,642 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
83 |
80 |
$0.00 |
| 1126F |
|
927 |
854 |
$0.00 |
| 3008F |
|
3,608 |
3,036 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
47 |
46 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
30 |
30 |
$0.00 |
| 90686 |
|
15 |
13 |
$0.00 |
| 3077F |
|
2,909 |
2,526 |
$0.00 |
| 3078F |
|
8,008 |
6,661 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
15 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
83 |
80 |
$0.00 |
| 1159F |
|
242 |
223 |
$0.00 |
| 1160F |
|
277 |
252 |
$0.00 |
| 99442 |
|
16 |
14 |
$0.00 |