| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,599 |
5,979 |
$557K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,248 |
941 |
$181K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
877 |
282 |
$55K |
| 98928 |
|
648 |
442 |
$36K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
328 |
155 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
122 |
122 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
122 |
119 |
$11K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
45 |
45 |
$10K |
| 97161 |
|
244 |
244 |
$9K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
304 |
153 |
$7K |
| J3415 |
Injection, pyridoxine hcl, 100 mg |
856 |
270 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$3K |
| J0610 |
Injection, calcium gluconate (fresenius kabi), per 10 ml |
856 |
270 |
$2K |
| 90688 |
|
101 |
101 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,009 |
341 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
90 |
84 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
110 |
$800.80 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,242 |
441 |
$688.83 |
| 90756 |
|
31 |
31 |
$543.33 |
| G0008 |
Administration of influenza virus vaccine |
55 |
55 |
$493.50 |
| 86580 |
|
102 |
97 |
$429.68 |
| 36415 |
Collection of venous blood by venipuncture |
1,645 |
1,617 |
$428.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
81 |
$261.30 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
124 |
66 |
$233.03 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
44 |
25 |
$164.88 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
109 |
36 |
$0.00 |