| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,597 |
2,937 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,209 |
1,121 |
$68K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
163 |
163 |
$22K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
190 |
184 |
$16K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
359 |
342 |
$9K |
| 73564 |
|
204 |
142 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
660 |
441 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
124 |
62 |
$2K |
| 20610 |
|
86 |
54 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$1K |
| 81025 |
|
149 |
126 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
12 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$961.77 |
| 81002 |
|
297 |
250 |
$916.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
225 |
217 |
$806.05 |
| 93000 |
|
86 |
82 |
$604.74 |
| 90715 |
|
14 |
14 |
$494.70 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
17 |
14 |
$353.10 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
106 |
89 |
$349.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
23 |
$165.12 |
| 90688 |
|
17 |
15 |
$103.21 |
| 93018 |
|
12 |
12 |
$98.52 |
| 90670 |
|
29 |
29 |
$0.00 |
| 90698 |
|
27 |
27 |
$0.00 |