| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,667 |
5,688 |
$272K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,548 |
1,374 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
358 |
303 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
302 |
238 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
497 |
413 |
$11K |
| 80305 |
|
1,588 |
1,344 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
207 |
163 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
100 |
78 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,082 |
608 |
$3K |
| 3008F |
|
212 |
162 |
$2K |
| 90674 |
|
120 |
88 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,521 |
1,252 |
$2K |
| 99406 |
|
228 |
203 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
77 |
62 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
146 |
94 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
790 |
426 |
$1K |
| 81003 |
|
919 |
747 |
$805.72 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
451 |
305 |
$717.33 |
| 80306 |
|
57 |
54 |
$626.82 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
60 |
44 |
$342.66 |
| 90688 |
|
25 |
20 |
$318.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
98 |
89 |
$191.95 |
| 82044 |
|
87 |
77 |
$137.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
116 |
89 |
$49.31 |
| 96127 |
|
18 |
12 |
$41.42 |