| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,517 |
5,773 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,322 |
4,061 |
$113K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
392 |
389 |
$32K |
| 99497 |
|
652 |
634 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
823 |
782 |
$3K |
| 93000 |
|
522 |
504 |
$2K |
| 90756 |
|
299 |
289 |
$2K |
| 99058 |
|
619 |
583 |
$2K |
| 99307 |
|
263 |
227 |
$2K |
| 99397 |
|
237 |
236 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
73 |
$977.56 |
| 90688 |
|
114 |
113 |
$538.90 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
341 |
340 |
$277.86 |
| 99441 |
|
17 |
13 |
$221.56 |
| 90656 |
|
27 |
27 |
$187.78 |
| 3078F |
|
2,301 |
2,178 |
$159.10 |
| 1126F |
|
2,035 |
1,940 |
$159.09 |
| 3074F |
|
1,675 |
1,584 |
$127.11 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
94 |
91 |
$126.61 |
| 1125F |
|
1,553 |
1,462 |
$122.18 |
| 3077F |
|
950 |
908 |
$81.10 |
| 3079F |
|
734 |
709 |
$71.13 |
| 1160F |
|
1,840 |
1,739 |
$64.01 |
| 1159F |
|
1,829 |
1,728 |
$64.01 |
| 3075F |
|
689 |
672 |
$55.06 |
| 1170F |
|
1,958 |
1,840 |
$34.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
15 |
$30.54 |
| 3080F |
|
90 |
87 |
$12.01 |
| 96127 |
|
12 |
12 |
$9.24 |
| 3044F |
|
98 |
92 |
$5.00 |
| 3288F |
|
1,841 |
1,738 |
$0.00 |
| 3051F |
|
14 |
12 |
$0.00 |
| 1036F |
|
1,700 |
1,596 |
$0.00 |
| 1101F |
|
1,605 |
1,524 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
235 |
233 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,211 |
1,136 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
14 |
14 |
$0.00 |