| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
786 |
391 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
511 |
343 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
303 |
188 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
758 |
472 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
349 |
258 |
$396.42 |
| 81003 |
|
490 |
267 |
$378.75 |
| 90686 |
|
19 |
19 |
$303.19 |
| 3008F |
|
550 |
343 |
$260.16 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
12 |
$257.68 |
| 80053 |
Comprehensive metabolic panel |
108 |
79 |
$230.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$128.82 |
| 81001 |
|
51 |
29 |
$70.84 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
15 |
14 |
$68.83 |
| 3074F |
|
51 |
27 |
$0.01 |
| 1159F |
|
226 |
110 |
$0.00 |
| 1160F |
|
226 |
110 |
$0.00 |