| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,055 |
1,675 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,052 |
865 |
$36K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
82 |
68 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
196 |
146 |
$4K |
| 80305 |
|
324 |
250 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,004 |
805 |
$1K |
| 87430 |
|
55 |
46 |
$456.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
45 |
$427.42 |
| 3008F |
|
665 |
564 |
$360.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
26 |
$179.01 |
| 3074F |
|
881 |
748 |
$150.00 |
| 3078F |
|
795 |
670 |
$150.00 |
| 93000 |
|
20 |
12 |
$113.18 |
| 3079F |
|
328 |
291 |
$90.00 |
| 81003 |
|
69 |
60 |
$63.45 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
26 |
$14.67 |
| 3075F |
|
64 |
56 |
$10.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$8.52 |
| 1035F |
|
374 |
326 |
$0.00 |
| 2001F |
|
1,602 |
1,337 |
$0.00 |
| 1036F |
|
994 |
829 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
801 |
664 |
$0.00 |
| 1111F |
|
927 |
768 |
$0.00 |
| 1034F |
|
385 |
336 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
698 |
588 |
$0.00 |
| 3077F |
|
15 |
14 |
$0.00 |