| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,537 |
4,421 |
$226K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,080 |
1,738 |
$51K |
| 99233 |
Prolong inpt eval add15 m |
448 |
226 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
789 |
625 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
135 |
108 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
96 |
86 |
$448.05 |
| 90688 |
|
49 |
40 |
$241.55 |
| 81003 |
|
452 |
371 |
$227.91 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22 |
16 |
$223.26 |
| 36415 |
Collection of venous blood by venipuncture |
587 |
519 |
$126.31 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
126 |
96 |
$96.85 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
105 |
99 |
$65.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
52 |
$62.20 |
| 1159F |
|
2,276 |
1,884 |
$34.68 |
| 1034F |
|
424 |
366 |
$15.66 |
| 3079F |
|
562 |
496 |
$10.02 |
| 3074F |
|
1,191 |
1,043 |
$10.01 |
| 1160F |
|
2,322 |
1,928 |
$0.05 |
| 3008F |
|
2,779 |
2,357 |
$0.05 |
| 1036F |
|
1,946 |
1,576 |
$0.03 |
| 3078F |
|
1,283 |
1,116 |
$0.02 |
| 1125F |
|
1,533 |
1,337 |
$0.01 |
| 3075F |
|
186 |
169 |
$0.01 |
| 3725F |
|
50 |
48 |
$0.00 |
| 3077F |
|
452 |
397 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
48 |
46 |
$0.00 |
| 99497 |
|
38 |
36 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
41 |
38 |
$0.00 |
| 1126F |
|
573 |
513 |
$0.00 |
| 1035F |
|
17 |
15 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
35 |
33 |
$0.00 |
| 3080F |
|
35 |
29 |
$0.00 |
| 1101F |
|
19 |
17 |
$0.00 |