| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,518 |
9,615 |
$581K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,196 |
3,906 |
$158K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,115 |
1,071 |
$55K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,034 |
512 |
$12K |
| 99406 |
|
1,277 |
1,206 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
536 |
522 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
404 |
361 |
$4K |
| 90686 |
|
152 |
148 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
98 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
579 |
555 |
$1K |
| S9470 |
Nutritional counseling, dietitian visit |
63 |
62 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
41 |
$922.21 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$800.72 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
36 |
35 |
$540.75 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
16 |
16 |
$507.60 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
17 |
$428.23 |
| 90674 |
|
17 |
17 |
$241.70 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
16 |
$143.09 |
| 81002 |
|
66 |
65 |
$141.55 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
15 |
12 |
$20.72 |
| 3074F |
|
1,677 |
1,623 |
$0.12 |
| 3078F |
|
62 |
61 |
$0.07 |
| 3077F |
|
15 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,579 |
1,512 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,004 |
1,907 |
$0.00 |
| 1036F |
|
23 |
23 |
$0.00 |