| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,717 |
4,004 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,404 |
1,248 |
$88K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
471 |
384 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
496 |
365 |
$16K |
| 99173 |
|
843 |
707 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
196 |
165 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
900 |
493 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
649 |
576 |
$7K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
74 |
53 |
$2K |
| 99215 |
Prolong outpt/office vis |
17 |
17 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
63 |
54 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
65 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
507 |
450 |
$1K |
| 81002 |
|
381 |
308 |
$523.23 |
| 90734 |
|
33 |
29 |
$258.12 |
| 90686 |
|
23 |
22 |
$191.20 |
| 90651 |
|
19 |
17 |
$143.40 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
88 |
81 |
$126.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
28 |
$0.00 |