| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,429 |
2,576 |
$155K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
581 |
555 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
461 |
406 |
$30K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
422 |
391 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
316 |
300 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
559 |
449 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
82 |
80 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
68 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$3K |
| 99401 |
|
110 |
108 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
36 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
753 |
682 |
$2K |
| 93000 |
|
206 |
192 |
$2K |
| 81025 |
|
266 |
236 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
16 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
38 |
$727.90 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
162 |
148 |
$700.04 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
37 |
29 |
$515.25 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
19 |
$437.18 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
258 |
178 |
$344.63 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
14 |
$324.03 |
| 94760 |
|
179 |
165 |
$281.65 |
| 81003 |
|
171 |
150 |
$266.91 |
| 90688 |
|
18 |
18 |
$230.84 |
| 99072 |
|
118 |
106 |
$0.00 |
| 90734 |
|
14 |
13 |
$0.00 |
| 99000 |
|
169 |
147 |
$0.00 |
| 90686 |
|
27 |
25 |
$0.00 |