| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,546 |
10,946 |
$512K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,164 |
8,492 |
$263K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,273 |
6,646 |
$139K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
529 |
254 |
$49K |
| 99215 |
Prolong outpt/office vis |
836 |
654 |
$46K |
| 90837 |
Psychotherapy, 53 minutes with patient |
437 |
200 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,347 |
1,151 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,352 |
2,011 |
$19K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
2,291 |
1,822 |
$15K |
| 90834 |
Psychotherapy, 45 minutes with patient |
281 |
141 |
$12K |
| 81002 |
|
3,246 |
2,608 |
$4K |
| 81025 |
|
729 |
612 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,003 |
1,543 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
17 |
16 |
$1K |
| 99495 |
|
14 |
13 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,316 |
3,335 |
$1K |
| 80305 |
|
206 |
148 |
$924.43 |
| 90674 |
|
62 |
57 |
$809.68 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
627 |
446 |
$523.82 |
| 82962 |
|
345 |
251 |
$433.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
14 |
$350.22 |
| G0008 |
Administration of influenza virus vaccine |
61 |
56 |
$340.98 |
| 81003 |
|
416 |
327 |
$262.92 |
| 82947 |
|
130 |
95 |
$190.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
57 |
$190.23 |
| 94760 |
|
91 |
59 |
$162.00 |
| 80306 |
|
14 |
12 |
$91.50 |
| 99407 |
|
19 |
13 |
$77.28 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
65 |
45 |
$72.13 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
162 |
110 |
$64.25 |
| 36416 |
|
57 |
39 |
$33.50 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
64 |
40 |
$30.41 |