| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,490 |
5,882 |
$570K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,932 |
5,977 |
$445K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
731 |
624 |
$60K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
327 |
257 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
297 |
235 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,196 |
915 |
$20K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
111 |
108 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
316 |
200 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
106 |
102 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
177 |
141 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
36 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
776 |
536 |
$3K |
| 87631 |
|
51 |
41 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
105 |
102 |
$3K |
| 80305 |
|
140 |
130 |
$2K |
| 74018 |
|
34 |
31 |
$735.57 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
25 |
24 |
$695.52 |
| 74019 |
|
14 |
12 |
$354.38 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
104 |
89 |
$346.89 |
| 90461 |
|
32 |
26 |
$277.20 |
| 90682 |
|
36 |
25 |
$183.72 |
| 20610 |
|
56 |
38 |
$114.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
280 |
240 |
$86.38 |
| 3008F |
|
10,336 |
7,540 |
$75.00 |
| 36415 |
Collection of venous blood by venipuncture |
55 |
47 |
$73.05 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
70 |
51 |
$33.79 |
| 90698 |
|
31 |
12 |
$15.75 |
| 90670 |
|
200 |
130 |
$15.75 |
| G0008 |
Administration of influenza virus vaccine |
74 |
70 |
$11.92 |
| 99173 |
|
199 |
183 |
$4.00 |
| 4050F |
|
679 |
566 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
242 |
213 |
$0.00 |
| 99000 |
|
336 |
272 |
$0.00 |
| 3079F |
|
114 |
90 |
$0.00 |
| 3075F |
|
37 |
28 |
$0.00 |
| 90677 |
|
19 |
12 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 3074F |
|
17 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
12 |
$0.00 |
| 90633 |
|
20 |
12 |
$0.00 |