| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,784 |
16,882 |
$247K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13,131 |
6,843 |
$71K |
| 94760 |
|
11,227 |
8,322 |
$36K |
| 92551 |
|
1,263 |
1,239 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,794 |
4,903 |
$35K |
| 96130 |
|
1,812 |
1,740 |
$12K |
| 93000 |
|
2,069 |
1,938 |
$12K |
| 94010 |
|
1,261 |
1,164 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
632 |
627 |
$7K |
| 92557 |
|
1,841 |
1,798 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
720 |
338 |
$6K |
| 99173 |
|
1,402 |
1,389 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
209 |
153 |
$932.63 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
430 |
335 |
$773.48 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
81 |
80 |
$762.54 |
| 96103 |
|
162 |
150 |
$580.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
362 |
339 |
$537.13 |
| 94060 |
|
172 |
156 |
$521.09 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$437.76 |
| 94664 |
|
216 |
161 |
$379.32 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
209 |
89 |
$205.57 |
| 90658 |
|
28 |
28 |
$117.62 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
296 |
170 |
$106.00 |
| 82947 |
|
35 |
34 |
$19.80 |
| 81002 |
|
18 |
18 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$0.00 |
| 87210 |
|
34 |
28 |
$0.00 |
| 92567 |
|
16 |
15 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
149 |
122 |
$0.00 |
| 85018 |
|
18 |
18 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |