| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
878 |
706 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
627 |
517 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
537 |
352 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
245 |
99 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
42 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
140 |
50 |
$929.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
59 |
$651.21 |
| 90686 |
|
63 |
57 |
$630.05 |
| 36415 |
Collection of venous blood by venipuncture |
484 |
393 |
$524.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
34 |
$315.86 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
54 |
28 |
$69.88 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
81 |
66 |
$22.97 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
12 |
$17.51 |
| 81003 |
|
16 |
13 |
$12.61 |