| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,856 |
2,296 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
918 |
717 |
$50K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,778 |
1,542 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
996 |
764 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
645 |
558 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
77 |
72 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
56 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
599 |
520 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
76 |
$917.57 |
| 3078F |
|
619 |
506 |
$850.01 |
| 80053 |
Comprehensive metabolic panel |
480 |
418 |
$844.60 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$813.40 |
| 90686 |
|
64 |
56 |
$710.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
46 |
$699.28 |
| 3074F |
|
638 |
512 |
$681.28 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
109 |
93 |
$604.94 |
| 3079F |
|
430 |
367 |
$601.27 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
92 |
87 |
$557.74 |
| 3075F |
|
295 |
245 |
$460.00 |
| 36415 |
Collection of venous blood by venipuncture |
782 |
646 |
$439.73 |
| 3077F |
|
257 |
214 |
$320.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
140 |
99 |
$240.04 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
17 |
12 |
$199.88 |
| 80061 |
Lipid panel |
64 |
53 |
$185.76 |
| 1125F |
|
37 |
25 |
$150.00 |
| 3080F |
|
134 |
105 |
$140.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
60 |
44 |
$117.75 |
| 81002 |
|
72 |
60 |
$110.23 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
64 |
53 |
$75.20 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
34 |
29 |
$70.76 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$28.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
71 |
56 |
$18.94 |
| 81003 |
|
15 |
15 |
$15.44 |