| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,415 |
1,332 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
131 |
124 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
233 |
200 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
242 |
117 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
25 |
$1K |
| 93000 |
|
99 |
88 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
55 |
47 |
$951.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$907.13 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
82 |
$882.63 |
| 71046 |
Radiologic examination, chest; 2 views |
43 |
33 |
$798.65 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$781.14 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
43 |
39 |
$719.18 |
| 81003 |
|
285 |
267 |
$513.78 |
| 81025 |
|
33 |
30 |
$179.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
67 |
57 |
$72.60 |
| 3075F |
|
69 |
66 |
$0.00 |
| 3079F |
|
203 |
192 |
$0.00 |
| 3074F |
|
432 |
402 |
$0.00 |
| 3080F |
|
51 |
49 |
$0.00 |
| 3078F |
|
324 |
304 |
$0.00 |
| 3077F |
|
58 |
55 |
$0.00 |
| 99051 |
|
101 |
97 |
$0.00 |