| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,919 |
7,981 |
$291K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,367 |
1,043 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,560 |
1,827 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
310 |
273 |
$12K |
| 80305 |
|
3,327 |
2,724 |
$9K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,256 |
1,780 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,251 |
1,777 |
$6K |
| 81002 |
|
3,522 |
2,650 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,050 |
1,722 |
$1K |
| 90756 |
|
220 |
140 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
129 |
$1K |
| 90656 |
|
63 |
58 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
110 |
89 |
$686.41 |
| 70220 |
|
57 |
47 |
$455.14 |
| 90682 |
|
34 |
28 |
$345.00 |
| 82947 |
|
474 |
382 |
$340.85 |
| 90688 |
|
37 |
36 |
$299.92 |
| 82948 |
|
485 |
290 |
$295.71 |
| G0008 |
Administration of influenza virus vaccine |
201 |
122 |
$100.48 |
| 81000 |
|
57 |
38 |
$49.03 |
| 94760 |
|
17 |
12 |
$0.00 |
| 99000 |
|
42 |
30 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
46 |
21 |
$0.00 |
| 90662 |
|
28 |
18 |
$0.00 |