| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,379 |
6,832 |
$605K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,021 |
5,893 |
$345K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,500 |
4,461 |
$44K |
| 99215 |
Prolong outpt/office vis |
405 |
330 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
25 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,949 |
1,590 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,772 |
3,799 |
$1K |
| 99173 |
|
252 |
209 |
$985.00 |
| 92551 |
|
256 |
209 |
$970.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
13 |
$910.00 |
| 81002 |
|
409 |
355 |
$882.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,072 |
876 |
$442.25 |
| 90658 |
|
28 |
25 |
$248.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
15 |
$154.00 |
| 82962 |
|
17 |
13 |
$27.00 |
| 90756 |
|
12 |
12 |
$26.66 |
| 3077F |
|
2,426 |
2,063 |
$0.00 |
| 3078F |
|
6,011 |
4,785 |
$0.00 |
| 3080F |
|
2,839 |
2,397 |
$0.00 |
| 3074F |
|
7,851 |
6,235 |
$0.00 |
| 3079F |
|
2,864 |
2,461 |
$0.00 |
| 3075F |
|
1,254 |
1,077 |
$0.00 |
| 3044F |
|
117 |
100 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
58 |
58 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
13 |
13 |
$0.00 |