| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,015 |
4,186 |
$461K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,237 |
1,953 |
$135K |
| 94760 |
|
9,127 |
6,686 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
61 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
241 |
237 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$4K |
| 99000 |
|
2,080 |
1,797 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
979 |
884 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
209 |
173 |
$3K |
| 90658 |
|
148 |
146 |
$2K |
| 81002 |
|
270 |
233 |
$879.95 |
| 90688 |
|
84 |
73 |
$749.32 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
17 |
16 |
$329.29 |
| 99173 |
|
29 |
28 |
$291.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$206.70 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$136.37 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$125.88 |
| 81025 |
|
12 |
12 |
$100.08 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
24 |
$31.34 |