| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,461 |
5,455 |
$607K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
231 |
231 |
$23K |
| 92588 |
|
254 |
254 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
153 |
92 |
$8K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
238 |
101 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
28 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
199 |
85 |
$2K |
| 90686 |
|
90 |
89 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 0002A |
|
15 |
14 |
$538.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
79 |
$405.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
39 |
$117.67 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
137 |
60 |
$109.27 |
| J7050 |
Infusion, normal saline solution, 250 cc |
61 |
26 |
$30.43 |
| 36415 |
Collection of venous blood by venipuncture |
1,316 |
1,283 |
$7.24 |
| 91300 |
|
48 |
44 |
$0.00 |