| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,900 |
8,927 |
$774K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,173 |
8,253 |
$489K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,948 |
1,795 |
$140K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,888 |
4,526 |
$91K |
| 99051 |
|
558 |
530 |
$19K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,198 |
3,041 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
170 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
93 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
598 |
591 |
$13K |
| 90756 |
|
479 |
474 |
$10K |
| 20552 |
|
145 |
138 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
192 |
183 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,942 |
1,787 |
$4K |
| 90686 |
|
160 |
157 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,417 |
3,242 |
$2K |
| 90674 |
|
54 |
53 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
54 |
52 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
65 |
$1K |
| J3490 |
Unclassified drugs |
1,868 |
1,711 |
$1K |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
42 |
41 |
$879.93 |
| 72100 |
|
14 |
13 |
$367.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
178 |
161 |
$259.62 |
| 99406 |
|
17 |
17 |
$236.77 |
| 81000 |
|
56 |
54 |
$160.20 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
14 |
$104.40 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
20 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
61 |
57 |
$0.00 |