| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,184 |
1,533 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
742 |
629 |
$30K |
| 99354 |
|
254 |
196 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
330 |
267 |
$4K |
| 94750 |
|
47 |
47 |
$3K |
| 95913 |
|
13 |
12 |
$3K |
| 99215 |
Prolong outpt/office vis |
34 |
30 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
150 |
121 |
$2K |
| 94060 |
|
46 |
46 |
$2K |
| 94400 |
|
46 |
46 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
894 |
809 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
27 |
$2K |
| 93922 |
|
28 |
26 |
$2K |
| 94760 |
|
2,465 |
1,449 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
13 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$1K |
| A6451 |
Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard |
740 |
666 |
$1K |
| 90686 |
|
36 |
34 |
$504.37 |
| 90674 |
|
37 |
27 |
$394.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$317.82 |
| 93000 |
|
29 |
27 |
$290.20 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
61 |
54 |
$110.06 |
| G0008 |
Administration of influenza virus vaccine |
27 |
20 |
$106.05 |
| 81002 |
|
13 |
12 |
$25.21 |
| 82962 |
|
14 |
12 |
$17.19 |
| 1160F |
|
312 |
182 |
$0.00 |
| 3078F |
|
274 |
158 |
$0.00 |
| 94375 |
|
13 |
12 |
$0.00 |
| 4004F |
|
267 |
160 |
$0.00 |
| 3008F |
|
333 |
200 |
$0.00 |
| 3074F |
|
275 |
159 |
$0.00 |
| 94200 |
|
48 |
42 |
$0.00 |
| 94010 |
|
14 |
12 |
$0.00 |
| 94250 |
|
48 |
42 |
$0.00 |