| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,731 |
12,830 |
$671K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
639 |
589 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
231 |
223 |
$15K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,146 |
1,031 |
$13K |
| 87428 |
|
325 |
297 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
345 |
323 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,692 |
1,518 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
151 |
143 |
$10K |
| 99221 |
|
125 |
120 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
151 |
142 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
317 |
157 |
$4K |
| 99173 |
|
733 |
719 |
$4K |
| 92551 |
|
618 |
608 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
226 |
107 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,228 |
2,128 |
$2K |
| 90686 |
|
55 |
55 |
$503.39 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
192 |
172 |
$194.46 |
| 90674 |
|
19 |
18 |
$144.00 |
| 90734 |
|
13 |
13 |
$104.00 |
| 81003 |
|
28 |
26 |
$60.99 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
37 |
37 |
$39.68 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
40 |
36 |
$29.36 |
| 3077F |
|
121 |
112 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| 3078F |
|
65 |
62 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
437 |
411 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,002 |
925 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,253 |
1,141 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
35 |
31 |
$0.00 |
| 3074F |
|
119 |
110 |
$0.00 |
| 3080F |
|
77 |
71 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
52 |
51 |
$0.00 |
| 3079F |
|
153 |
145 |
$0.00 |
| 3075F |
|
48 |
44 |
$0.00 |