| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,195 |
2,491 |
$178K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,735 |
2,984 |
$166K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,567 |
1,133 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
590 |
375 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
84 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
67 |
$6K |
| 93000 |
|
296 |
276 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
348 |
294 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
170 |
130 |
$2K |
| 90686 |
|
240 |
213 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
175 |
133 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
698 |
499 |
$1K |
| 82947 |
|
391 |
352 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20 |
15 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
176 |
123 |
$1K |
| 85018 |
|
474 |
430 |
$1K |
| 99173 |
|
121 |
105 |
$826.95 |
| 90651 |
|
26 |
13 |
$380.51 |
| 81003 |
|
163 |
150 |
$340.08 |
| 36416 |
|
40 |
39 |
$151.70 |
| 99072 |
|
149 |
112 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
47 |
$0.00 |