| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,611 |
1,400 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,438 |
1,233 |
$44K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
443 |
353 |
$5K |
| 99215 |
Prolong outpt/office vis |
98 |
87 |
$5K |
| 1111F |
|
1,729 |
1,484 |
$3K |
| 3008F |
|
3,108 |
2,623 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
75 |
$1K |
| 3078F |
|
1,711 |
1,503 |
$1K |
| 3074F |
|
1,797 |
1,579 |
$1K |
| 90688 |
|
151 |
143 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
162 |
153 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
53 |
51 |
$1K |
| 3044F |
|
1,233 |
996 |
$780.00 |
| 3079F |
|
599 |
540 |
$630.00 |
| 3046F |
|
324 |
256 |
$620.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
40 |
$599.95 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
335 |
318 |
$592.61 |
| 3077F |
|
477 |
404 |
$505.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
69 |
$432.57 |
| 82962 |
|
328 |
305 |
$416.19 |
| 3080F |
|
285 |
244 |
$320.00 |
| 81002 |
|
192 |
180 |
$307.93 |
| 90686 |
|
58 |
57 |
$267.63 |
| 36415 |
Collection of venous blood by venipuncture |
146 |
132 |
$146.94 |
| 3075F |
|
196 |
180 |
$140.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
30 |
27 |
$119.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22 |
21 |
$111.45 |
| 81025 |
|
13 |
13 |
$47.22 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
31 |
26 |
$6.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
25 |
$6.39 |
| 99000 |
|
1,236 |
1,038 |
$2.16 |