| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,696 |
10,360 |
$979K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,946 |
3,196 |
$457K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,115 |
839 |
$165K |
| 96912 |
|
983 |
455 |
$103K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,170 |
557 |
$93K |
| 97124 |
|
1,496 |
446 |
$74K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
788 |
268 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
264 |
245 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
590 |
428 |
$32K |
| 97161 |
|
187 |
170 |
$17K |
| 80305 |
|
1,320 |
1,088 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
361 |
239 |
$9K |
| J3415 |
Injection, pyridoxine hcl, 100 mg |
608 |
307 |
$7K |
| 97035 |
|
504 |
222 |
$7K |
| 99215 |
Prolong outpt/office vis |
34 |
32 |
$5K |
| 64490 |
|
20 |
12 |
$4K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
16 |
13 |
$3K |
| 64493 |
|
23 |
13 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
95 |
64 |
$2K |
| 27096 |
|
18 |
13 |
$2K |
| 87081 |
|
264 |
251 |
$2K |
| 80053 |
Comprehensive metabolic panel |
187 |
162 |
$2K |
| 80050 |
General health panel |
59 |
48 |
$2K |
| 64494 |
|
21 |
13 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
160 |
122 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
200 |
170 |
$2K |
| 99406 |
|
89 |
86 |
$2K |
| 84439 |
|
152 |
131 |
$1K |
| 80061 |
Lipid panel |
115 |
91 |
$1K |
| J1644 |
Injection, heparin sodium, per 1000 units |
982 |
455 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
53 |
40 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,694 |
850 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
210 |
155 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
120 |
105 |
$934.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
38 |
$557.63 |
| 11721 |
|
53 |
42 |
$424.27 |
| 87275 |
|
30 |
28 |
$407.76 |
| 84481 |
|
18 |
16 |
$330.34 |
| 84482 |
|
17 |
15 |
$302.68 |
| 87276 |
|
29 |
27 |
$213.72 |
| 36415 |
Collection of venous blood by venipuncture |
834 |
713 |
$212.25 |
| 81001 |
|
62 |
48 |
$174.43 |
| 90686 |
|
14 |
14 |
$96.12 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
106 |
96 |
$67.71 |
| J0610 |
Injection, calcium gluconate (fresenius kabi), per 10 ml |
641 |
298 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
647 |
302 |
$0.00 |