| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,212 |
4,207 |
$242K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,673 |
974 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
719 |
523 |
$6K |
| 81000 |
|
821 |
663 |
$2K |
| 99215 |
Prolong outpt/office vis |
37 |
28 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
61 |
51 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
173 |
124 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
25 |
$822.47 |
| 90688 |
|
94 |
86 |
$808.61 |
| 90756 |
|
62 |
59 |
$649.15 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
170 |
148 |
$634.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
58 |
$597.86 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
25 |
$584.00 |
| 96160 |
|
17 |
12 |
$277.59 |
| 99173 |
|
33 |
26 |
$190.08 |
| 96127 |
|
18 |
12 |
$184.57 |
| 92551 |
|
14 |
13 |
$129.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
63 |
36 |
$52.70 |
| G0008 |
Administration of influenza virus vaccine |
70 |
65 |
$0.00 |
| 90686 |
|
26 |
25 |
$0.00 |