| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,726 |
22,579 |
$1.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,251 |
13,205 |
$393K |
| 71046 |
Radiologic examination, chest; 2 views |
1,951 |
1,880 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,989 |
1,666 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
889 |
640 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
754 |
735 |
$9K |
| 74019 |
|
567 |
544 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
702 |
656 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
153 |
134 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
431 |
406 |
$2K |
| 87070 |
|
390 |
379 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
377 |
355 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
472 |
437 |
$2K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
14 |
14 |
$2K |
| 73630 |
|
105 |
101 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
589 |
556 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,520 |
1,283 |
$926.32 |
| 73610 |
|
105 |
103 |
$749.17 |
| 81001 |
|
307 |
291 |
$673.55 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
200 |
120 |
$615.23 |
| 87420 |
|
39 |
38 |
$342.96 |
| 73130 |
|
16 |
16 |
$291.20 |
| 73110 |
|
13 |
13 |
$267.28 |
| 81025 |
|
29 |
28 |
$238.86 |
| 73140 |
|
16 |
14 |
$237.36 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
12 |
12 |
$194.03 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
29 |
29 |
$148.67 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
223 |
193 |
$139.69 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$139.44 |
| 81003 |
|
28 |
24 |
$65.32 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
113 |
102 |
$45.56 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
119 |
105 |
$41.56 |
| 87430 |
|
85 |
75 |
$0.00 |