| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,965 |
2,705 |
$258K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,447 |
2,168 |
$139K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,443 |
1,330 |
$9K |
| 99406 |
|
432 |
406 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
161 |
150 |
$3K |
| 81000 |
|
890 |
852 |
$3K |
| 90686 |
|
126 |
126 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
177 |
177 |
$2K |
| 82947 |
|
456 |
432 |
$1K |
| 90682 |
|
15 |
15 |
$1K |
| 99442 |
|
51 |
45 |
$729.97 |
| 84443 |
Thyroid stimulating hormone (TSH) |
43 |
43 |
$558.97 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
57 |
54 |
$511.08 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
18 |
16 |
$101.46 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
41 |
$89.32 |
| 3079F |
|
867 |
775 |
$0.00 |
| 3074F |
|
1,321 |
1,158 |
$0.00 |
| 1036F |
|
879 |
744 |
$0.00 |
| 3075F |
|
576 |
527 |
$0.00 |
| 1034F |
|
626 |
526 |
$0.00 |
| 4000F |
|
60 |
59 |
$0.00 |
| 4037F |
|
84 |
84 |
$0.00 |
| 1000F |
|
15 |
15 |
$0.00 |
| 3078F |
|
1,128 |
997 |
$0.00 |
| 3725F |
|
17 |
17 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
61 |
61 |
$0.00 |
| 4004F |
|
53 |
49 |
$0.00 |
| 3077F |
|
14 |
14 |
$0.00 |