| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,639 |
2,698 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,670 |
1,349 |
$49K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
980 |
666 |
$10K |
| 80305 |
|
728 |
565 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,273 |
1,789 |
$3K |
| 93000 |
|
291 |
232 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
87 |
71 |
$2K |
| 81002 |
|
1,178 |
923 |
$2K |
| 3008F |
|
416 |
357 |
$610.00 |
| 94010 |
|
47 |
36 |
$607.69 |
| 96103 |
|
52 |
45 |
$568.04 |
| 69210 |
|
17 |
12 |
$471.58 |
| 99490 |
Ccm add 20min |
240 |
215 |
$447.23 |
| 96127 |
|
158 |
117 |
$445.04 |
| 99408 |
|
53 |
40 |
$367.51 |
| 92552 |
|
33 |
27 |
$358.98 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
272 |
174 |
$309.99 |
| 99406 |
|
72 |
52 |
$282.44 |
| 99173 |
|
139 |
109 |
$211.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
17 |
$166.97 |
| 99442 |
|
27 |
25 |
$131.16 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$74.43 |
| 81025 |
|
14 |
12 |
$72.94 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
61 |
50 |
$37.19 |
| 3061F |
|
81 |
53 |
$20.09 |
| 99491 |
Ccm add 20min |
13 |
13 |
$10.17 |
| 3078F |
|
22 |
16 |
$10.00 |
| G0008 |
Administration of influenza virus vaccine |
21 |
18 |
$3.13 |
| 4050F |
|
209 |
167 |
$0.00 |
| 2000F |
|
172 |
150 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
18 |
16 |
$0.00 |
| 3048F |
|
54 |
43 |
$0.00 |
| 3074F |
|
23 |
18 |
$0.00 |