| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,841 |
8,188 |
$475K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,617 |
5,285 |
$223K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,729 |
1,090 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,280 |
4,100 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,359 |
1,040 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,934 |
1,541 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
689 |
489 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
64 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
39 |
$3K |
| 3008F |
|
322 |
216 |
$3K |
| 81003 |
|
2,488 |
1,933 |
$2K |
| 93000 |
|
127 |
92 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
15 |
$780.64 |
| 90688 |
|
46 |
31 |
$737.45 |
| 36415 |
Collection of venous blood by venipuncture |
602 |
521 |
$616.58 |
| 82044 |
|
258 |
208 |
$550.96 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
45 |
37 |
$476.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
18 |
$277.71 |
| 86308 |
|
42 |
33 |
$145.69 |
| 81025 |
|
37 |
28 |
$140.87 |
| 81001 |
|
79 |
57 |
$123.67 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
20 |
13 |
$35.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
34 |
24 |
$17.61 |