| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,321 |
4,675 |
$136K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,610 |
6,691 |
$134K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,945 |
2,662 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
1,772 |
1,480 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,094 |
890 |
$5K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,697 |
1,183 |
$5K |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
1,141 |
983 |
$4K |
| 93000 |
|
761 |
685 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
489 |
433 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
961 |
818 |
$2K |
| 20610 |
|
97 |
51 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
264 |
214 |
$2K |
| 80305 |
|
589 |
551 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
234 |
227 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
381 |
323 |
$945.46 |
| 99490 |
Ccm add 20min |
447 |
421 |
$821.27 |
| 71045 |
Radiologic examination, chest; single view |
154 |
126 |
$794.61 |
| 99497 |
|
125 |
112 |
$651.08 |
| 72100 |
|
34 |
34 |
$453.17 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
930 |
665 |
$356.66 |
| 36415 |
Collection of venous blood by venipuncture |
432 |
366 |
$277.19 |
| 93922 |
|
20 |
16 |
$275.41 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
165 |
111 |
$267.66 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
557 |
479 |
$178.73 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
41 |
29 |
$35.12 |
| 81000 |
|
20 |
13 |
$27.73 |
| 1123F |
|
167 |
148 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
39 |
36 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
14 |
13 |
$0.00 |