| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
655 |
609 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
864 |
600 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
809 |
625 |
$6K |
| 94729 |
|
192 |
187 |
$3K |
| 94060 |
|
178 |
174 |
$3K |
| 94727 |
|
190 |
186 |
$2K |
| 93000 |
|
254 |
235 |
$1K |
| 93925 |
|
12 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
195 |
179 |
$778.98 |
| 90756 |
|
60 |
58 |
$455.81 |
| 82947 |
|
393 |
340 |
$223.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$209.92 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
415 |
297 |
$173.99 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
232 |
161 |
$152.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
13 |
$126.45 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
23 |
15 |
$109.00 |
| 95012 |
|
14 |
14 |
$93.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
14 |
$66.33 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
131 |
125 |
$51.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
261 |
236 |
$32.71 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
66 |
54 |
$11.90 |
| 81003 |
|
14 |
13 |
$1.32 |
| G0008 |
Administration of influenza virus vaccine |
32 |
30 |
$0.00 |