| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,340 |
17,896 |
$1.73M |
| 99310 |
Prolong nursin fac eval 15m |
1,954 |
1,663 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,066 |
1,002 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
980 |
922 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
570 |
549 |
$34K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,410 |
1,339 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,272 |
1,916 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
123 |
111 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
159 |
147 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129 |
116 |
$8K |
| 90734 |
|
252 |
244 |
$5K |
| 90650 |
|
387 |
361 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,416 |
2,076 |
$2K |
| 90716 |
|
78 |
76 |
$1K |
| 90715 |
|
76 |
73 |
$1K |
| 90707 |
|
74 |
72 |
$1K |
| 90670 |
|
69 |
67 |
$1K |
| 90633 |
|
38 |
38 |
$732.23 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
300 |
288 |
$537.17 |
| 90647 |
|
27 |
25 |
$494.75 |
| 90688 |
|
28 |
27 |
$477.44 |
| 90651 |
|
19 |
18 |
$336.43 |
| 90686 |
|
15 |
15 |
$304.99 |
| 90744 |
|
13 |
13 |
$257.27 |
| 90696 |
|
15 |
15 |
$237.48 |
| 90756 |
|
20 |
18 |
$22.79 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
624 |
589 |
$8.84 |
| 3074F |
|
48 |
45 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 1160F |
|
290 |
258 |
$0.00 |
| 81025 |
|
224 |
206 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
64 |
51 |
$0.00 |
| 1159F |
|
19 |
17 |
$0.00 |
| 81002 |
|
46 |
46 |
$0.00 |
| 3078F |
|
86 |
80 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
158 |
150 |
$0.00 |
| 3077F |
|
16 |
12 |
$0.00 |