| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,724 |
1,443 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
437 |
385 |
$27K |
| 99215 |
Prolong outpt/office vis |
362 |
297 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
844 |
740 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
623 |
527 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
736 |
338 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
83 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
169 |
142 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
33 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
400 |
345 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 92551 |
|
144 |
127 |
$1K |
| 85018 |
|
176 |
156 |
$253.94 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
580 |
493 |
$169.00 |
| 99173 |
|
144 |
127 |
$131.52 |
| 96160 |
|
40 |
36 |
$108.69 |
| 81025 |
|
13 |
13 |
$93.60 |
| 81001 |
|
29 |
25 |
$54.88 |
| J0945 |
Injection, brompheniramine maleate, per 10 mg |
180 |
156 |
$10.48 |
| 90686 |
|
75 |
57 |
$0.00 |
| 90715 |
|
30 |
29 |
$0.00 |