| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,164 |
866 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
585 |
510 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
421 |
165 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
117 |
90 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
625 |
420 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
232 |
188 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
410 |
239 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
140 |
136 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$957.82 |
| 36416 |
|
618 |
418 |
$720.18 |
| 99173 |
|
88 |
84 |
$444.88 |
| 81003 |
|
248 |
221 |
$377.47 |
| 92551 |
|
32 |
29 |
$207.91 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
13 |
12 |
$87.25 |
| 81025 |
|
24 |
15 |
$81.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
40 |
37 |
$19.03 |