| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,448 |
5,789 |
$173K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,341 |
1,087 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
921 |
750 |
$6K |
| 87428 |
|
72 |
67 |
$3K |
| 90686 |
|
154 |
134 |
$719.41 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$386.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
29 |
$291.69 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$133.13 |
| 90688 |
|
73 |
72 |
$117.60 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
68 |
51 |
$113.81 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
627 |
600 |
$111.60 |
| 81003 |
|
127 |
103 |
$97.67 |
| 90656 |
|
16 |
15 |
$69.88 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
13 |
$56.32 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
39 |
30 |
$6.39 |
| 3288F |
|
65 |
64 |
$0.00 |
| 3725F |
|
495 |
477 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
29 |
29 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
576 |
550 |
$0.00 |
| 1126F |
|
204 |
176 |
$0.00 |
| 1036F |
|
251 |
212 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
412 |
393 |
$0.00 |
| 1101F |
|
62 |
61 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
132 |
107 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
29 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
16 |
15 |
$0.00 |