| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,716 |
9,339 |
$803K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,618 |
7,241 |
$517K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,581 |
1,581 |
$157K |
| 99215 |
Prolong outpt/office vis |
1,191 |
1,189 |
$134K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
308 |
306 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,688 |
3,141 |
$25K |
| 99443 |
|
709 |
654 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
137 |
137 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
842 |
841 |
$15K |
| 90682 |
|
236 |
235 |
$14K |
| 72100 |
|
538 |
536 |
$11K |
| 99442 |
|
483 |
421 |
$9K |
| 93000 |
|
740 |
736 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,244 |
2,222 |
$7K |
| 99406 |
|
715 |
701 |
$6K |
| 90673 |
|
88 |
87 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
215 |
213 |
$2K |
| 90686 |
|
101 |
100 |
$2K |
| 90688 |
|
84 |
83 |
$2K |
| 99496 |
|
13 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
41 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,364 |
2,089 |
$933.64 |
| 90656 |
|
56 |
56 |
$923.34 |
| 99497 |
|
65 |
65 |
$869.59 |
| 73560 |
|
29 |
27 |
$474.58 |
| 99490 |
Ccm add 20min |
19 |
19 |
$263.23 |
| 90662 |
|
16 |
16 |
$145.33 |
| 82962 |
|
33 |
31 |
$61.78 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
635 |
558 |
$52.85 |
| 3008F |
|
77 |
77 |
$0.00 |
| 3725F |
|
690 |
689 |
$0.00 |
| 90685 |
|
24 |
23 |
$0.00 |