| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,998 |
8,433 |
$422K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,740 |
5,289 |
$335K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,879 |
1,582 |
$49K |
| 87428 |
|
852 |
723 |
$43K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,038 |
937 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,118 |
2,575 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
152 |
142 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
122 |
106 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
69 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
746 |
643 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
112 |
100 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
844 |
652 |
$5K |
| 99215 |
Prolong outpt/office vis |
81 |
64 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
48 |
42 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,654 |
1,368 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,884 |
2,394 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 81025 |
|
380 |
310 |
$1K |
| 92552 |
|
81 |
72 |
$1K |
| 81003 |
|
1,165 |
880 |
$938.99 |
| 90674 |
|
79 |
67 |
$817.63 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
799 |
546 |
$787.91 |
| 90661 |
|
28 |
28 |
$753.11 |
| 93000 |
|
33 |
25 |
$388.84 |
| G0008 |
Administration of influenza virus vaccine |
87 |
74 |
$378.67 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
58 |
52 |
$261.64 |
| 36416 |
|
493 |
315 |
$199.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
41 |
$153.75 |
| 90656 |
|
63 |
41 |
$132.00 |
| 90686 |
|
173 |
143 |
$99.75 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
14 |
$51.25 |
| 3078F |
|
472 |
348 |
$42.51 |
| 3074F |
|
320 |
248 |
$32.51 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
60 |
54 |
$15.18 |
| 99000 |
|
974 |
852 |
$15.00 |
| 99173 |
|
310 |
287 |
$12.69 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
14 |
$10.44 |
| 3077F |
|
13 |
12 |
$10.00 |
| 3079F |
|
28 |
25 |
$10.00 |
| 69209 |
|
90 |
61 |
$3.94 |
| 90461 |
|
186 |
164 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 80377 |
|
13 |
12 |
$0.00 |
| 1111F |
|
212 |
178 |
$0.00 |
| 90688 |
|
38 |
31 |
$0.00 |
| 90651 |
|
14 |
12 |
$0.00 |