| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,603 |
5,091 |
$203K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,401 |
3,518 |
$179K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,165 |
2,520 |
$63K |
| 99215 |
Prolong outpt/office vis |
405 |
333 |
$21K |
| 80305 |
|
1,194 |
1,030 |
$5K |
| 99406 |
|
724 |
615 |
$5K |
| 81002 |
|
2,525 |
1,905 |
$4K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
301 |
255 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,079 |
1,795 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,567 |
1,002 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
678 |
490 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
329 |
270 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
90 |
86 |
$620.72 |
| 81025 |
|
143 |
123 |
$587.71 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
304 |
222 |
$487.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
64 |
55 |
$454.30 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
48 |
48 |
$406.87 |
| 90756 |
|
15 |
13 |
$291.18 |
| G0008 |
Administration of influenza virus vaccine |
47 |
47 |
$249.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
677 |
520 |
$230.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$78.39 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
676 |
489 |
$21.17 |
| Q3014 |
Telehealth originating site facility fee |
16 |
14 |
$11.97 |