| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,540 |
2,889 |
$227K |
| 92550 |
|
1,929 |
1,103 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
230 |
148 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
643 |
357 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
922 |
561 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
176 |
124 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
447 |
259 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
493 |
270 |
$4K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
247 |
158 |
$2K |
| 92551 |
|
531 |
258 |
$2K |
| 93000 |
|
174 |
100 |
$2K |
| 81003 |
|
1,203 |
706 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,041 |
587 |
$1K |
| 90674 |
|
74 |
43 |
$1K |
| 99173 |
|
414 |
208 |
$1K |
| 90651 |
|
27 |
13 |
$677.70 |
| 81025 |
|
180 |
123 |
$657.64 |
| 80053 |
Comprehensive metabolic panel |
131 |
75 |
$287.88 |
| 84443 |
Thyroid stimulating hormone (TSH) |
22 |
12 |
$93.21 |
| 3008F |
|
153 |
68 |
$80.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
38 |
16 |
$61.50 |
| 90658 |
|
21 |
17 |
$0.15 |