| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,782 |
4,856 |
$272K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,906 |
4,989 |
$210K |
| 99215 |
Prolong outpt/office vis |
2,039 |
1,516 |
$110K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,223 |
790 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
810 |
640 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
391 |
280 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,406 |
1,782 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
226 |
135 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$2K |
| 81002 |
|
1,025 |
786 |
$2K |
| 80305 |
|
306 |
229 |
$2K |
| 3008F |
|
1,249 |
964 |
$2K |
| 90674 |
|
145 |
98 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
15 |
$1K |
| 99173 |
|
142 |
127 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
14 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
157 |
103 |
$456.88 |
| 3078F |
|
227 |
167 |
$243.17 |
| G0008 |
Administration of influenza virus vaccine |
141 |
98 |
$231.64 |
| 3077F |
|
222 |
163 |
$220.00 |
| 3074F |
|
256 |
193 |
$203.38 |
| 3079F |
|
241 |
173 |
$173.38 |
| 83037 |
|
23 |
16 |
$99.90 |
| 3080F |
|
39 |
29 |
$80.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
76 |
53 |
$79.50 |
| 81003 |
|
68 |
54 |
$70.66 |
| 85013 |
|
16 |
12 |
$30.00 |
| 1125F |
|
270 |
195 |
$0.00 |
| 3075F |
|
20 |
12 |
$0.00 |