| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,499 |
5,282 |
$262K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
794 |
737 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
400 |
384 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,400 |
1,267 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,175 |
1,092 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,332 |
1,269 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
133 |
123 |
$9K |
| 81025 |
|
557 |
512 |
$3K |
| 81002 |
|
1,531 |
1,418 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,082 |
989 |
$2K |
| 82962 |
|
737 |
666 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
489 |
465 |
$623.81 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
12 |
$604.92 |
| 92551 |
|
53 |
53 |
$408.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
364 |
342 |
$182.17 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
57 |
48 |
$100.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$94.56 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
68 |
58 |
$66.86 |
| 99173 |
|
50 |
50 |
$45.51 |
| 85018 |
|
61 |
49 |
$42.24 |
| 96160 |
|
54 |
44 |
$39.83 |