| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,678 |
3,064 |
$228K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,902 |
1,057 |
$21K |
| 99215 |
Prolong outpt/office vis |
193 |
138 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
25 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
50 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
449 |
375 |
$650.50 |
| 90756 |
|
30 |
21 |
$532.77 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
39 |
$509.48 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
272 |
224 |
$388.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
34 |
$328.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
19 |
$290.64 |
| 96127 |
|
51 |
38 |
$210.96 |
| 99173 |
|
26 |
15 |
$146.53 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
74 |
64 |
$36.95 |
| 81000 |
|
15 |
14 |
$24.97 |
| 3008F |
|
46 |
33 |
$0.00 |