| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,928 |
3,566 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,396 |
2,205 |
$151K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,814 |
5,028 |
$104K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,015 |
6,120 |
$79K |
| 99401 |
|
4,930 |
4,260 |
$74K |
| 94060 |
|
737 |
735 |
$36K |
| 93000 |
|
747 |
743 |
$11K |
| 94016 |
|
733 |
731 |
$7K |
| 92550 |
|
770 |
769 |
$7K |
| 81000 |
|
4,268 |
4,126 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
5,012 |
4,889 |
$5K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
5,386 |
4,833 |
$4K |
| 86580 |
|
484 |
484 |
$3K |
| 99173 |
|
611 |
610 |
$3K |
| 81025 |
|
1,286 |
1,241 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
41 |
$2K |
| 99442 |
|
27 |
26 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
153 |
145 |
$830.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
73 |
37 |
$737.90 |
| 81002 |
|
1,011 |
982 |
$699.49 |
| 90658 |
|
69 |
68 |
$656.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
48 |
$620.65 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,044 |
947 |
$332.87 |
| 93922 |
|
12 |
12 |
$302.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$238.00 |
| G0008 |
Administration of influenza virus vaccine |
57 |
56 |
$222.61 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
237 |
236 |
$203.74 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
332 |
317 |
$175.88 |
| 96127 |
|
77 |
75 |
$161.65 |
| 90756 |
|
15 |
15 |
$150.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
121 |
121 |
$11.66 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
1,829 |
1,554 |
$10.65 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
114 |
113 |
$3.75 |
| 99001 |
|
253 |
250 |
$0.00 |
| 88738 |
|
17 |
16 |
$0.00 |