| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,421 |
1,249 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
323 |
292 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
354 |
303 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
116 |
106 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
39 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
257 |
119 |
$3K |
| 81025 |
|
302 |
275 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
65 |
55 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
131 |
121 |
$1K |
| 81003 |
|
492 |
445 |
$819.46 |
| 93000 |
|
76 |
65 |
$715.29 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
63 |
53 |
$704.77 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
102 |
88 |
$411.87 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$267.78 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
178 |
160 |
$179.88 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
37 |
$101.88 |
| 3078F |
|
101 |
90 |
$0.00 |
| 3077F |
|
15 |
15 |
$0.00 |
| 3075F |
|
19 |
19 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 3074F |
|
123 |
111 |
$0.00 |
| 3079F |
|
51 |
50 |
$0.00 |