| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,200 |
10,175 |
$651K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,627 |
6,903 |
$361K |
| 99199 |
Unlisted special service, procedure or report |
56,532 |
35,220 |
$175K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
451 |
303 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
650 |
419 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,197 |
2,185 |
$24K |
| 99215 |
Prolong outpt/office vis |
147 |
101 |
$9K |
| 99349 |
|
162 |
108 |
$7K |
| 20610 |
|
334 |
151 |
$4K |
| 80305 |
|
964 |
622 |
$4K |
| 99350 |
Prolong home eval add 15m |
63 |
38 |
$3K |
| 87631 |
|
64 |
46 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
225 |
131 |
$3K |
| 3008F |
|
16,866 |
10,729 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
763 |
291 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
58 |
45 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
509 |
270 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
820 |
493 |
$568.88 |
| 99442 |
|
47 |
23 |
$495.77 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
387 |
196 |
$417.18 |
| 90686 |
|
185 |
55 |
$353.97 |
| 99496 |
|
21 |
15 |
$320.08 |
| 99497 |
|
42 |
24 |
$277.05 |
| 4050F |
|
3,972 |
2,484 |
$275.00 |
| 90682 |
|
86 |
46 |
$259.35 |
| 99000 |
|
565 |
312 |
$179.63 |
| 99173 |
|
51 |
36 |
$76.90 |
| H0033 |
Oral medication administration, direct observation |
176 |
117 |
$75.00 |
| 3079F |
|
1,299 |
806 |
$75.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
74 |
42 |
$71.72 |
| 90688 |
|
85 |
13 |
$62.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
571 |
350 |
$60.56 |
| 3074F |
|
942 |
607 |
$50.00 |
| G0008 |
Administration of influenza virus vaccine |
141 |
80 |
$40.65 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
172 |
91 |
$40.58 |
| 3075F |
|
992 |
633 |
$25.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
42 |
25 |
$15.72 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
572 |
320 |
$14.02 |
| 3077F |
|
148 |
109 |
$0.00 |
| 3078F |
|
1,106 |
761 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |
| 3080F |
|
44 |
26 |
$0.00 |
| 1111F |
|
82 |
42 |
$0.00 |