| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,167 |
6,007 |
$273K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,189 |
1,826 |
$116K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
281 |
276 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
187 |
186 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
613 |
516 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
802 |
448 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
109 |
83 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
60 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
107 |
$759.18 |
| 36415 |
Collection of venous blood by venipuncture |
369 |
319 |
$693.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
25 |
$179.96 |
| 87275 |
|
18 |
18 |
$147.24 |
| 87276 |
|
18 |
18 |
$147.24 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
24 |
12 |
$91.19 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
45 |
25 |
$44.99 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
35 |
13 |
$9.94 |