| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,064 |
17,382 |
$1.71M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,835 |
4,750 |
$635K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,385 |
5,175 |
$329K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,053 |
1,040 |
$82K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
297 |
289 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,719 |
1,668 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,417 |
694 |
$17K |
| 99215 |
Prolong outpt/office vis |
156 |
148 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
242 |
241 |
$16K |
| 99442 |
|
355 |
329 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
100 |
100 |
$7K |
| 93000 |
|
357 |
351 |
$6K |
| 81002 |
|
2,471 |
2,357 |
$6K |
| 99443 |
|
117 |
101 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
210 |
192 |
$3K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 82947 |
|
635 |
624 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
83 |
$853.50 |
| 81025 |
|
12 |
12 |
$69.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19 |
18 |
$13.21 |