| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,694 |
6,683 |
$281K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,430 |
4,939 |
$141K |
| 99215 |
Prolong outpt/office vis |
2,970 |
2,339 |
$123K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,409 |
1,039 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
393 |
332 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
108 |
86 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
73 |
60 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
904 |
395 |
$4K |
| 99307 |
|
6,176 |
962 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
686 |
510 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
434 |
180 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
228 |
92 |
$2K |
| 3008F |
|
2,743 |
1,888 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,966 |
2,322 |
$2K |
| 90674 |
|
256 |
216 |
$2K |
| 80305 |
|
372 |
295 |
$1K |
| 96116 |
|
89 |
71 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
247 |
209 |
$1K |
| 81002 |
|
1,206 |
996 |
$898.34 |
| 3078F |
|
664 |
513 |
$810.56 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
492 |
421 |
$756.68 |
| 3079F |
|
689 |
521 |
$738.08 |
| 99173 |
|
397 |
336 |
$633.76 |
| 3077F |
|
441 |
316 |
$544.54 |
| 3074F |
|
649 |
512 |
$499.91 |
| 83037 |
|
207 |
190 |
$373.58 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
17 |
12 |
$302.29 |
| 3075F |
|
238 |
197 |
$240.00 |
| 81003 |
|
182 |
128 |
$112.02 |
| 96127 |
|
28 |
24 |
$84.13 |
| 1125F |
|
619 |
487 |
$60.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
33 |
27 |
$16.39 |
| 3080F |
|
17 |
13 |
$12.53 |
| 3044F |
|
71 |
55 |
$0.00 |
| 1126F |
|
15 |
13 |
$0.00 |