| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,502 |
9,711 |
$712K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,312 |
7,731 |
$358K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
402 |
393 |
$28K |
| 0002A |
|
2,037 |
1,988 |
$19K |
| 0001A |
|
2,192 |
2,173 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,454 |
579 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
711 |
689 |
$8K |
| 99215 |
Prolong outpt/office vis |
63 |
60 |
$7K |
| 0071A |
|
175 |
172 |
$7K |
| 90686 |
|
560 |
539 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
59 |
$6K |
| 0072A |
|
143 |
141 |
$6K |
| 0004A |
|
198 |
192 |
$5K |
| 99381 |
|
54 |
51 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
125 |
38 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
138 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
243 |
225 |
$3K |
| 0003A |
|
106 |
102 |
$2K |
| 90682 |
|
28 |
28 |
$1K |
| 90461 |
|
187 |
155 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
151 |
149 |
$1K |
| 0124A |
|
34 |
34 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$1K |
| 0064A |
|
90 |
88 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
13 |
13 |
$708.08 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
19 |
17 |
$625.65 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$507.40 |
| 0011A |
|
259 |
251 |
$448.87 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
14 |
12 |
$413.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$338.91 |
| 99460 |
|
13 |
13 |
$323.79 |
| 3044F |
|
290 |
273 |
$240.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$185.04 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
15 |
13 |
$176.83 |
| 82947 |
|
13 |
13 |
$42.61 |
| 0012A |
|
173 |
172 |
$32.97 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
28 |
24 |
$17.99 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
14 |
$10.92 |
| 91307 |
|
359 |
320 |
$1.87 |
| 91300 |
|
3,554 |
2,979 |
$1.25 |
| 91312 |
|
19 |
19 |
$0.09 |
| 91305 |
|
13 |
12 |
$0.06 |
| 91301 |
|
204 |
193 |
$0.05 |
| 91306 |
|
13 |
13 |
$0.03 |
| 3078F |
|
325 |
301 |
$0.00 |
| 90670 |
|
51 |
46 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
13 |
13 |
$0.00 |
| 3074F |
|
335 |
312 |
$0.00 |
| 3079F |
|
109 |
108 |
$0.00 |
| 90680 |
|
27 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
119 |
108 |
$0.00 |