| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,197 |
1,017 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,505 |
1,179 |
$46K |
| 96160 |
|
1,399 |
914 |
$8K |
| 96127 |
|
1,555 |
961 |
$5K |
| 81025 |
|
609 |
519 |
$3K |
| 81003 |
|
1,312 |
1,098 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
27 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
70 |
57 |
$1K |
| 93000 |
|
85 |
77 |
$928.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
30 |
$721.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
46 |
$574.16 |
| 36416 |
|
239 |
195 |
$287.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
30 |
$285.82 |
| 92551 |
|
48 |
42 |
$264.86 |
| 99173 |
|
69 |
61 |
$235.88 |
| 90656 |
|
19 |
16 |
$233.55 |
| 99459 |
|
20 |
16 |
$208.84 |
| 81001 |
|
77 |
40 |
$153.28 |
| 82947 |
|
41 |
36 |
$113.85 |
| 87210 |
|
14 |
12 |
$55.04 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
15 |
$43.55 |
| D0190 |
|
16 |
13 |
$42.60 |
| 85018 |
|
15 |
13 |
$24.52 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$8.52 |
| 87070 |
|
45 |
33 |
$0.00 |
| 3008F |
|
26 |
12 |
$0.00 |
| 99072 |
|
214 |
155 |
$0.00 |