| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,025 |
851 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
457 |
382 |
$19K |
| 80305 |
|
251 |
188 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$931.58 |
| 3008F |
|
153 |
134 |
$560.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
21 |
$430.95 |
| 1159F |
|
57 |
52 |
$260.00 |
| 1160F |
|
34 |
31 |
$190.00 |
| 36415 |
Collection of venous blood by venipuncture |
109 |
94 |
$160.87 |
| 99173 |
|
37 |
29 |
$151.14 |
| 90688 |
|
12 |
12 |
$149.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
12 |
$120.98 |
| 1126F |
|
16 |
15 |
$110.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$78.19 |
| 3074F |
|
13 |
12 |
$60.00 |
| 96127 |
|
16 |
15 |
$56.41 |
| 81002 |
|
27 |
21 |
$55.87 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
15 |
$7.82 |