| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,962 |
2,401 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,381 |
1,109 |
$49K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
875 |
614 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
150 |
127 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
313 |
274 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
177 |
139 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
264 |
153 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,181 |
993 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
25 |
25 |
$1K |
| 81002 |
|
938 |
796 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
14 |
$995.64 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
29 |
27 |
$964.79 |
| 90688 |
|
188 |
169 |
$842.86 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
115 |
96 |
$360.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
52 |
$317.56 |
| 36416 |
|
91 |
78 |
$46.90 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
12 |
$44.95 |
| 82962 |
|
26 |
26 |
$44.51 |
| G0008 |
Administration of influenza virus vaccine |
62 |
60 |
$37.10 |
| 3008F |
|
51 |
47 |
$30.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
16 |
12 |
$1.83 |
| 90686 |
|
27 |
26 |
$0.00 |
| 90461 |
|
18 |
12 |
$0.00 |