| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,004 |
3,356 |
$212K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
501 |
350 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
368 |
310 |
$14K |
| 94060 |
|
482 |
410 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
780 |
308 |
$9K |
| 93922 |
|
321 |
252 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
518 |
356 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
588 |
412 |
$5K |
| 77081 |
|
331 |
277 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
138 |
135 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
309 |
242 |
$4K |
| 93000 |
|
284 |
246 |
$4K |
| 99401 |
|
413 |
326 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
152 |
131 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
33 |
30 |
$2K |
| 99406 |
|
356 |
271 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
27 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
525 |
453 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
30 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
35 |
27 |
$1K |
| 92551 |
|
98 |
96 |
$1K |
| 70210 |
|
62 |
55 |
$880.53 |
| 90674 |
|
64 |
60 |
$740.84 |
| 81000 |
|
316 |
267 |
$622.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
37 |
$538.77 |
| 99490 |
Ccm add 20min |
103 |
91 |
$464.55 |
| 99173 |
|
98 |
96 |
$282.00 |
| 82947 |
|
55 |
39 |
$258.84 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
240 |
187 |
$156.62 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
310 |
229 |
$122.55 |
| G0008 |
Administration of influenza virus vaccine |
36 |
33 |
$93.79 |
| 36416 |
|
230 |
162 |
$50.25 |
| 2000F |
|
64 |
53 |
$0.00 |
| 1101F |
|
27 |
24 |
$0.00 |
| 3074F |
|
53 |
50 |
$0.00 |
| 1100F |
|
104 |
84 |
$0.00 |
| 3078F |
|
52 |
49 |
$0.00 |