| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,227 |
15,183 |
$126K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19,838 |
9,874 |
$88K |
| 90686 |
|
2,908 |
2,847 |
$17K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,622 |
4,165 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,185 |
1,172 |
$16K |
| 93000 |
|
2,452 |
2,433 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
411 |
411 |
$10K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
4,138 |
3,295 |
$9K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,880 |
3,506 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,588 |
2,430 |
$7K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,155 |
1,986 |
$6K |
| 36410 |
|
2,533 |
2,274 |
$6K |
| 92551 |
|
2,093 |
2,080 |
$3K |
| 99385 |
|
152 |
149 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
559 |
554 |
$2K |
| 99000 |
|
5,015 |
4,551 |
$1K |
| 90670 |
|
34 |
34 |
$894.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,168 |
3,041 |
$848.63 |
| 99386 |
|
63 |
63 |
$694.05 |
| 99358 |
Prolong nursin fac eval 15m |
35 |
32 |
$674.28 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
56 |
$637.41 |
| G0008 |
Administration of influenza virus vaccine |
150 |
147 |
$396.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
149 |
128 |
$288.37 |
| 99173 |
|
2,018 |
2,008 |
$193.74 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
105 |
104 |
$95.71 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$94.48 |
| G0009 |
Administration of pneumococcal vaccine |
18 |
18 |
$60.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
23 |
23 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
126 |
120 |
$0.00 |
| 3080F |
|
267 |
232 |
$0.00 |
| 4018F |
|
43 |
38 |
$0.00 |
| 88150 |
|
17 |
17 |
$0.00 |