| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,812 |
5,245 |
$455K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
547 |
473 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
199 |
154 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
91 |
80 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
41 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
12 |
$1K |
| 36416 |
|
2,590 |
1,945 |
$297.85 |
| 36415 |
Collection of venous blood by venipuncture |
1,217 |
1,018 |
$285.23 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,358 |
2,537 |
$217.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
432 |
333 |
$93.78 |
| 99173 |
|
99 |
84 |
$93.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
298 |
225 |
$89.88 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
73 |
52 |
$67.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,505 |
1,174 |
$34.01 |
| 99000 |
|
221 |
188 |
$4.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
247 |
175 |
$0.00 |
| 92551 |
|
93 |
78 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
37 |
28 |
$0.00 |
| 90686 |
|
20 |
14 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
12 |
$0.00 |
| 81003 |
|
635 |
520 |
$0.00 |
| J0945 |
Injection, brompheniramine maleate, per 10 mg |
37 |
28 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
16 |
$0.00 |