| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,063 |
15,852 |
$1.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,455 |
10,419 |
$626K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
785 |
688 |
$90K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
726 |
679 |
$63K |
| 93000 |
|
6,017 |
5,100 |
$58K |
| 94010 |
|
1,210 |
1,002 |
$24K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
207 |
180 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,188 |
1,028 |
$20K |
| 99385 |
|
134 |
127 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,093 |
848 |
$15K |
| 82947 |
|
8,441 |
7,423 |
$15K |
| 90674 |
|
863 |
735 |
$14K |
| 81003 |
|
15,182 |
12,741 |
$14K |
| 93922 |
|
269 |
211 |
$10K |
| 90756 |
|
615 |
539 |
$9K |
| 36416 |
|
6,632 |
5,942 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
74 |
74 |
$8K |
| 76770 |
|
79 |
66 |
$7K |
| 99386 |
|
31 |
31 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
42 |
42 |
$4K |
| 96127 |
|
975 |
906 |
$4K |
| 94760 |
|
2,161 |
1,849 |
$3K |
| 76536 |
|
13 |
13 |
$1K |
| 90661 |
|
53 |
52 |
$1K |
| 0513F |
|
42 |
41 |
$680.00 |
| 81025 |
|
114 |
101 |
$459.37 |
| 82274 |
|
32 |
30 |
$307.95 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
17 |
16 |
$268.48 |
| 99422 |
|
89 |
68 |
$119.25 |
| 3044F |
|
48 |
47 |
$115.00 |
| 3077F |
|
390 |
354 |
$85.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
69 |
57 |
$79.85 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$77.18 |
| G0403 |
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report |
79 |
71 |
$69.76 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
17 |
16 |
$68.38 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
12 |
$23.87 |
| 3075F |
|
288 |
271 |
$10.00 |
| 80305 |
|
77 |
74 |
$7.48 |
| 3074F |
|
598 |
569 |
$5.00 |
| 3288F |
|
30 |
26 |
$0.00 |
| 1158F |
|
48 |
41 |
$0.00 |
| 2028F |
|
249 |
222 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
140 |
124 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
289 |
209 |
$0.00 |
| 3080F |
|
211 |
190 |
$0.00 |
| 1170F |
|
100 |
92 |
$0.00 |