| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,769 |
2,962 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,218 |
2,333 |
$112K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,702 |
1,261 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,019 |
832 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
627 |
536 |
$5K |
| 1159F |
|
4,448 |
3,030 |
$3K |
| 1160F |
|
4,449 |
3,031 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
295 |
213 |
$2K |
| 99402 |
|
421 |
277 |
$2K |
| 3008F |
|
3,247 |
2,181 |
$2K |
| 81002 |
|
1,322 |
983 |
$2K |
| 97802 |
|
435 |
292 |
$1K |
| 92551 |
|
328 |
225 |
$1K |
| 96127 |
|
451 |
283 |
$1K |
| 93000 |
|
145 |
108 |
$1K |
| 99173 |
|
328 |
228 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
86 |
52 |
$1K |
| 82962 |
|
548 |
382 |
$542.46 |
| 99408 |
|
107 |
71 |
$489.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
266 |
212 |
$382.30 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
247 |
203 |
$352.78 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
14 |
$257.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
702 |
570 |
$225.38 |
| 90756 |
|
54 |
30 |
$210.55 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
12 |
$160.63 |
| 36416 |
|
291 |
205 |
$154.10 |
| 99406 |
|
20 |
14 |
$63.16 |
| 94760 |
|
15 |
12 |
$38.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
13 |
$38.36 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
372 |
307 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
148 |
127 |
$0.00 |
| 99080 |
|
68 |
56 |
$0.00 |
| 99072 |
|
14 |
14 |
$0.00 |