| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,535 |
9,634 |
$356K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,793 |
5,763 |
$162K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,581 |
1,444 |
$93K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,989 |
1,513 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,537 |
1,260 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
879 |
805 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
103 |
102 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,236 |
1,122 |
$9K |
| 80305 |
|
829 |
682 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
501 |
422 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
119 |
93 |
$1K |
| 90682 |
|
27 |
25 |
$683.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
111 |
87 |
$466.93 |
| 81002 |
|
416 |
380 |
$384.30 |
| 87449 |
|
52 |
41 |
$377.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
57 |
$370.77 |
| 90837 |
Psychotherapy, 53 minutes with patient |
29 |
26 |
$234.50 |
| 90832 |
Psychotherapy, 30 minutes with patient |
300 |
253 |
$40.89 |
| 90688 |
|
41 |
41 |
$36.01 |
| 96127 |
|
21 |
21 |
$0.20 |
| 99499 |
|
531 |
510 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
1,159 |
860 |
$0.00 |