| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,843 |
3,320 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,501 |
1,312 |
$53K |
| 87428 |
|
274 |
257 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
249 |
160 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
357 |
332 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
367 |
230 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
70 |
46 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
41 |
15 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
12 |
$645.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
49 |
$446.48 |
| 36415 |
Collection of venous blood by venipuncture |
323 |
303 |
$243.12 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
37 |
33 |
$233.12 |
| H0038 |
Self-help/peer services, per 15 minutes |
64 |
53 |
$198.90 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
38 |
33 |
$58.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
57 |
54 |
$29.35 |
| 81003 |
|
42 |
29 |
$9.00 |
| 3725F |
|
568 |
460 |
$0.00 |
| 3078F |
|
185 |
164 |
$0.00 |
| 3077F |
|
111 |
98 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 1090F |
|
200 |
172 |
$0.00 |
| 3288F |
|
52 |
47 |
$0.00 |
| 1036F |
|
1,363 |
1,153 |
$0.00 |
| 1125F |
|
471 |
401 |
$0.00 |
| 3074F |
|
224 |
197 |
$0.00 |
| 3079F |
|
251 |
224 |
$0.00 |
| 1170F |
|
20 |
17 |
$0.00 |
| 3075F |
|
72 |
65 |
$0.00 |
| 3080F |
|
15 |
14 |
$0.00 |
| 1101F |
|
52 |
47 |
$0.00 |