| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,932 |
2,369 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,429 |
1,980 |
$61K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,597 |
1,288 |
$12K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
293 |
275 |
$2K |
| 90686 |
|
45 |
41 |
$426.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
16 |
$375.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
580 |
501 |
$321.42 |
| 99406 |
|
51 |
47 |
$207.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
17 |
$129.25 |
| 99441 |
|
15 |
12 |
$79.92 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
39 |
$47.64 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
35 |
25 |
$30.09 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
14 |
$24.19 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
30 |
26 |
$0.00 |
| 4274F |
|
41 |
35 |
$0.00 |
| 99305 |
|
13 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
19 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |