| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,331 |
2,658 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,589 |
2,007 |
$90K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,329 |
1,006 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,594 |
650 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
527 |
449 |
$4K |
| 1160F |
|
3,978 |
2,791 |
$3K |
| 1159F |
|
3,982 |
2,792 |
$3K |
| 3008F |
|
2,900 |
2,037 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
198 |
148 |
$2K |
| 81002 |
|
901 |
707 |
$1K |
| 97802 |
|
309 |
216 |
$1K |
| 99402 |
|
232 |
167 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
16 |
$971.86 |
| 96127 |
|
229 |
151 |
$718.22 |
| 99173 |
|
263 |
179 |
$717.54 |
| 92551 |
|
191 |
136 |
$675.13 |
| 93000 |
|
62 |
48 |
$546.93 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
225 |
184 |
$360.57 |
| 99406 |
|
99 |
74 |
$330.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
13 |
$285.95 |
| 82962 |
|
165 |
134 |
$187.05 |
| 71046 |
Radiologic examination, chest; 2 views |
18 |
13 |
$171.01 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
492 |
395 |
$159.99 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
106 |
81 |
$147.94 |
| 99408 |
|
21 |
15 |
$124.00 |
| 94760 |
|
122 |
99 |
$117.15 |
| 90756 |
|
13 |
12 |
$87.62 |
| 95117 |
|
23 |
12 |
$79.37 |
| 36416 |
|
33 |
27 |
$23.45 |
| 3078F |
|
12 |
12 |
$10.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
52 |
38 |
$1.78 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
259 |
213 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
98 |
82 |
$0.00 |
| 99080 |
|
14 |
12 |
$0.00 |