| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,678 |
2,431 |
$190K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,400 |
1,249 |
$64K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
587 |
547 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
845 |
802 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
61 |
58 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
48 |
47 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
71 |
12 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
68 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
290 |
276 |
$2K |
| 93000 |
|
141 |
138 |
$1K |
| 99406 |
|
166 |
152 |
$1K |
| 81002 |
|
602 |
567 |
$1K |
| 90686 |
|
57 |
54 |
$973.20 |
| 90682 |
|
20 |
20 |
$720.00 |
| 82962 |
|
321 |
280 |
$693.25 |
| 36415 |
Collection of venous blood by venipuncture |
365 |
348 |
$679.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78 |
73 |
$455.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
30 |
$402.34 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
250 |
230 |
$378.69 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
15 |
$261.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
17 |
$229.31 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$20.97 |
| 1036F |
|
1,708 |
1,510 |
$0.00 |
| 1125F |
|
560 |
526 |
$0.00 |
| 3080F |
|
251 |
240 |
$0.00 |
| 1034F |
|
1,380 |
1,198 |
$0.00 |
| 3079F |
|
743 |
715 |
$0.00 |
| 3075F |
|
522 |
500 |
$0.00 |
| 1000F |
|
259 |
248 |
$0.00 |
| 3074F |
|
2,157 |
1,967 |
$0.00 |
| 3077F |
|
398 |
371 |
$0.00 |
| 1159F |
|
3,461 |
3,076 |
$0.00 |
| 3078F |
|
1,962 |
1,788 |
$0.00 |