| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,913 |
10,559 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
14 |
12 |
$645.29 |
| 90688 |
|
79 |
79 |
$638.88 |
| G0008 |
Administration of influenza virus vaccine |
61 |
61 |
$540.00 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$460.65 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
744 |
730 |
$275.13 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
71 |
70 |
$232.77 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
12 |
$178.06 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
24 |
24 |
$87.65 |
| 81003 |
|
269 |
266 |
$0.00 |
| 3077F |
|
498 |
496 |
$0.00 |
| 84439 |
|
107 |
107 |
$0.00 |
| 3078F |
|
220 |
215 |
$0.00 |
| 80061 |
Lipid panel |
249 |
249 |
$0.00 |
| 3015F |
|
79 |
79 |
$0.00 |
| 82274 |
|
82 |
82 |
$0.00 |
| 84481 |
|
15 |
15 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
67 |
67 |
$0.00 |
| 3345F |
|
16 |
16 |
$0.00 |
| 3080F |
|
136 |
136 |
$0.00 |
| 3074F |
|
158 |
157 |
$0.00 |
| 3014F |
|
97 |
97 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
130 |
120 |
$0.00 |
| 3075F |
|
289 |
287 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
318 |
308 |
$0.00 |
| 3079F |
|
533 |
530 |
$0.00 |
| 3008F |
|
1,537 |
1,523 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
245 |
245 |
$0.00 |
| 97802 |
|
260 |
257 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
400 |
372 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
271 |
269 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$0.00 |
| 85027 |
|
211 |
211 |
$0.00 |
| 1220F |
|
19 |
19 |
$0.00 |
| 99406 |
|
44 |
44 |
$0.00 |