| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,429 |
2,809 |
$219K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
481 |
472 |
$46K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
491 |
473 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
310 |
267 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
842 |
804 |
$3K |
| 93000 |
|
174 |
159 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
68 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
70 |
62 |
$996.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
84 |
$909.63 |
| 81025 |
|
116 |
103 |
$607.81 |
| 90688 |
|
41 |
41 |
$496.09 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60 |
56 |
$272.55 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
19 |
19 |
$177.52 |
| 81003 |
|
78 |
73 |
$138.54 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
159 |
127 |
$136.06 |
| 90658 |
|
14 |
14 |
$118.43 |
| 99000 |
|
132 |
123 |
$5.60 |