| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,205 |
904 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,033 |
759 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
581 |
424 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
483 |
300 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,052 |
804 |
$1K |
| 90686 |
|
133 |
103 |
$968.81 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
160 |
76 |
$929.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
86 |
69 |
$553.74 |
| 80305 |
|
106 |
81 |
$530.38 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
43 |
$471.69 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
12 |
$383.20 |
| 99406 |
|
85 |
51 |
$326.00 |
| 90688 |
|
37 |
26 |
$193.54 |
| 81003 |
|
47 |
37 |
$54.29 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
36 |
27 |
$38.75 |
| G0008 |
Administration of influenza virus vaccine |
76 |
54 |
$20.32 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
38 |
27 |
$10.95 |