| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,930 |
7,467 |
$538K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,516 |
6,375 |
$384K |
| 36415 |
Collection of venous blood by venipuncture |
4,621 |
3,919 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,545 |
1,910 |
$37K |
| 99000 |
|
866 |
793 |
$26K |
| 81003 |
|
1,583 |
1,443 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
124 |
115 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
503 |
458 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
604 |
256 |
$8K |
| 92551 |
|
477 |
425 |
$7K |
| 92081 |
|
299 |
257 |
$7K |
| 99401 |
|
54 |
53 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
101 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
105 |
91 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34 |
32 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
76 |
71 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 90734 |
|
76 |
67 |
$687.99 |
| 90649 |
|
20 |
15 |
$674.75 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
23 |
16 |
$637.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
28 |
25 |
$612.58 |
| 99422 |
|
54 |
43 |
$565.54 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
61 |
55 |
$362.33 |
| 99421 |
|
51 |
38 |
$231.82 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
13 |
$84.45 |
| 90715 |
|
16 |
14 |
$66.88 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
12 |
$0.00 |