| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,909 |
11,715 |
$832K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,554 |
7,132 |
$333K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,445 |
2,281 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
383 |
267 |
$21K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
160 |
125 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
279 |
228 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
207 |
163 |
$11K |
| 96127 |
|
3,717 |
2,576 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
638 |
491 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
4,733 |
3,406 |
$5K |
| 80305 |
|
731 |
469 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,542 |
1,205 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
96 |
$3K |
| 81002 |
|
1,976 |
1,425 |
$3K |
| 90688 |
|
208 |
139 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
238 |
152 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,738 |
1,039 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
20 |
12 |
$809.64 |
| 90686 |
|
53 |
38 |
$533.75 |
| 99406 |
|
37 |
25 |
$184.08 |
| 90687 |
|
47 |
22 |
$112.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
564 |
359 |
$44.11 |
| 81003 |
|
36 |
28 |
$23.58 |
| G0008 |
Administration of influenza virus vaccine |
70 |
47 |
$0.00 |