| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,820 |
3,536 |
$152K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,558 |
1,164 |
$56K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,203 |
1,404 |
$20K |
| 99349 |
|
412 |
219 |
$8K |
| 92567 |
|
556 |
458 |
$6K |
| 95923 |
|
95 |
58 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
229 |
167 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
497 |
400 |
$4K |
| 95943 |
|
95 |
58 |
$4K |
| 93922 |
|
95 |
58 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
442 |
345 |
$3K |
| 92551 |
|
499 |
434 |
$2K |
| 81002 |
|
1,095 |
848 |
$2K |
| 99173 |
|
488 |
423 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
226 |
177 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
48 |
$1K |
| 90756 |
|
113 |
101 |
$901.90 |
| 36415 |
Collection of venous blood by venipuncture |
631 |
488 |
$849.98 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
13 |
$805.53 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$725.08 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
14 |
$561.70 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
557 |
448 |
$561.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
49 |
$428.65 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
515 |
357 |
$400.36 |
| 94060 |
|
16 |
15 |
$387.17 |
| 90656 |
|
13 |
12 |
$159.04 |
| 90674 |
|
16 |
16 |
$152.69 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
20 |
18 |
$136.87 |
| 82962 |
|
15 |
12 |
$29.64 |
| J2300 |
Injection, nalbuphine hydrochloride, per 10 mg |
22 |
12 |
$25.76 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
28 |
14 |
$18.74 |
| 99000 |
|
420 |
341 |
$0.00 |
| 90657 |
|
23 |
22 |
$0.00 |
| 98960 |
|
180 |
156 |
$0.00 |