| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,097 |
8,076 |
$659K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,373 |
2,168 |
$115K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
874 |
787 |
$61K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,744 |
1,561 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
653 |
599 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
369 |
354 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
307 |
297 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
307 |
290 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
308 |
291 |
$24K |
| 99215 |
Prolong outpt/office vis |
226 |
217 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
853 |
752 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
260 |
255 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
133 |
129 |
$14K |
| 94760 |
|
4,501 |
3,821 |
$11K |
| 95923 |
|
98 |
94 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
715 |
697 |
$10K |
| 94690 |
|
177 |
163 |
$8K |
| 99385 |
|
75 |
71 |
$7K |
| 95921 |
|
86 |
82 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
295 |
277 |
$5K |
| 99401 |
|
124 |
115 |
$3K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
332 |
310 |
$3K |
| 93922 |
|
36 |
34 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
66 |
64 |
$2K |
| 99386 |
|
12 |
12 |
$1K |
| 99173 |
|
559 |
496 |
$1K |
| 81003 |
|
445 |
426 |
$1K |
| 90688 |
|
109 |
74 |
$1K |
| 96138 |
|
18 |
14 |
$727.38 |
| 93000 |
|
28 |
28 |
$379.97 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
18 |
$358.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
15 |
$307.66 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
172 |
157 |
$293.43 |
| 90461 |
|
38 |
18 |
$107.43 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
21 |
12 |
$65.79 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
25 |
20 |
$57.78 |
| 81002 |
|
13 |
13 |
$41.79 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$36.73 |
| 3079F |
|
20 |
18 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 90647 |
|
17 |
12 |
$0.00 |
| 90723 |
|
15 |
12 |
$0.00 |
| 3074F |
|
34 |
30 |
$0.00 |
| 90670 |
|
67 |
50 |
$0.00 |
| 3078F |
|
31 |
27 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |