| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,122 |
4,092 |
$249K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,640 |
3,912 |
$91K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,163 |
998 |
$13K |
| 1160F |
|
691 |
567 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
861 |
762 |
$3K |
| 3008F |
|
730 |
595 |
$3K |
| 1159F |
|
559 |
468 |
$3K |
| 3074F |
|
429 |
345 |
$2K |
| 90756 |
|
194 |
149 |
$1K |
| 3078F |
|
380 |
300 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,074 |
1,797 |
$1K |
| 1125F |
|
146 |
110 |
$1K |
| 99442 |
|
80 |
64 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
103 |
$934.41 |
| 1170F |
|
116 |
81 |
$770.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
605 |
545 |
$642.23 |
| 3079F |
|
136 |
118 |
$600.00 |
| 90674 |
|
87 |
81 |
$460.78 |
| 71045 |
Radiologic examination, chest; single view |
69 |
57 |
$411.85 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90 |
41 |
$380.66 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
266 |
229 |
$374.85 |
| 3075F |
|
75 |
67 |
$300.00 |
| 80053 |
Comprehensive metabolic panel |
148 |
114 |
$221.26 |
| 99497 |
|
21 |
17 |
$218.49 |
| 80061 |
Lipid panel |
80 |
59 |
$168.30 |
| 3077F |
|
26 |
18 |
$160.00 |
| 3080F |
|
18 |
12 |
$120.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
23 |
19 |
$89.27 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
895 |
785 |
$52.40 |
| 3044F |
|
29 |
26 |
$40.00 |
| G0008 |
Administration of influenza virus vaccine |
150 |
132 |
$16.03 |
| 3048F |
|
51 |
43 |
$0.00 |
| 4274F |
|
19 |
15 |
$0.00 |