| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,246 |
2,946 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,724 |
1,556 |
$71K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
824 |
542 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
743 |
686 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,176 |
920 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
988 |
938 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
160 |
142 |
$3K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 81003 |
|
416 |
398 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
70 |
68 |
$818.46 |
| 90688 |
|
45 |
43 |
$517.36 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
139 |
99 |
$206.72 |
| 81002 |
|
73 |
67 |
$182.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
18 |
$70.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
28 |
$58.31 |
| 3078F |
|
1,245 |
1,064 |
$0.00 |
| 3077F |
|
148 |
138 |
$0.00 |
| 3075F |
|
291 |
268 |
$0.00 |
| 3074F |
|
1,369 |
1,170 |
$0.00 |
| 3079F |
|
541 |
506 |
$0.00 |
| 99000 |
|
16 |
15 |
$0.00 |