| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,256 |
3,947 |
$381K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,340 |
4,965 |
$336K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
634 |
633 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
420 |
416 |
$37K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
244 |
241 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
75 |
$9K |
| 99406 |
|
1,050 |
1,003 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
526 |
489 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$4K |
| 96127 |
|
863 |
852 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
628 |
602 |
$1K |
| 81002 |
|
134 |
132 |
$330.39 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
32 |
$322.04 |
| 87807 |
|
14 |
14 |
$109.96 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
12 |
12 |
$41.28 |
| 99000 |
|
25 |
24 |
$32.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$10.01 |
| 3078F |
|
2,542 |
2,294 |
$0.00 |
| 3074F |
|
2,708 |
2,446 |
$0.00 |
| 3079F |
|
747 |
717 |
$0.00 |
| 3075F |
|
598 |
572 |
$0.00 |