| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,471 |
7,266 |
$373K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,762 |
5,940 |
$234K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,557 |
1,386 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,366 |
2,224 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,613 |
772 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
153 |
152 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
123 |
119 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
594 |
479 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
73 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
81 |
77 |
$6K |
| 74018 |
|
78 |
70 |
$2K |
| 90461 |
|
301 |
241 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
49 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
269 |
254 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
40 |
40 |
$1K |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
29 |
27 |
$279.65 |
| 90686 |
|
130 |
128 |
$243.72 |
| 81003 |
|
75 |
70 |
$126.63 |
| 81001 |
|
56 |
52 |
$121.90 |
| 99000 |
|
14 |
14 |
$120.00 |
| 82570 |
|
27 |
24 |
$102.45 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15 |
12 |
$96.09 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
81 |
81 |
$0.00 |
| 1036F |
|
46 |
39 |
$0.00 |
| 90688 |
|
19 |
19 |
$0.00 |
| 4004F |
|
86 |
74 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90670 |
|
44 |
40 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
36 |
27 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |