| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,608 |
11,849 |
$799K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,028 |
2,830 |
$268K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,682 |
1,577 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,013 |
2,504 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
5,349 |
4,870 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
116 |
115 |
$8K |
| 99201 |
|
257 |
257 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
73 |
70 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
117 |
117 |
$6K |
| 81002 |
|
1,537 |
1,393 |
$3K |
| 80305 |
|
429 |
420 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
184 |
171 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
58 |
54 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$964.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
30 |
$400.89 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
857 |
736 |
$358.46 |
| 93000 |
|
41 |
39 |
$243.75 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
188 |
148 |
$93.20 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$86.07 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
240 |
220 |
$24.98 |