| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
2,868 |
1,663 |
$303K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,835 |
2,481 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,502 |
1,546 |
$50K |
| 10061 |
|
990 |
535 |
$45K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,591 |
2,018 |
$33K |
| 40800 |
|
238 |
143 |
$12K |
| 99442 |
|
1,175 |
551 |
$7K |
| 80305 |
|
4,049 |
2,196 |
$7K |
| 99443 |
|
781 |
437 |
$7K |
| 97597 |
|
469 |
245 |
$6K |
| 99215 |
Prolong outpt/office vis |
150 |
100 |
$6K |
| 17110 |
|
205 |
100 |
$5K |
| 69000 |
|
43 |
24 |
$3K |
| 99441 |
|
845 |
356 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
19 |
12 |
$2K |
| 90756 |
|
190 |
132 |
$2K |
| 92546 |
|
68 |
16 |
$2K |
| 17000 |
|
123 |
63 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
119 |
76 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
221 |
81 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
64 |
40 |
$1K |
| 93000 |
|
180 |
115 |
$993.86 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
899 |
457 |
$766.70 |
| 20611 |
|
22 |
12 |
$553.87 |
| 36415 |
Collection of venous blood by venipuncture |
1,299 |
770 |
$382.81 |
| 69210 |
|
40 |
20 |
$297.33 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
251 |
138 |
$232.93 |
| 43249 |
|
23 |
12 |
$226.84 |
| 92542 |
|
34 |
16 |
$206.05 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
18 |
$193.72 |
| 99497 |
|
191 |
103 |
$177.72 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
147 |
83 |
$120.19 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
18 |
$85.20 |
| 81003 |
|
70 |
40 |
$44.88 |
| 92547 |
|
38 |
16 |
$35.49 |
| 82962 |
|
48 |
26 |
$16.38 |
| G0008 |
Administration of influenza virus vaccine |
82 |
62 |
$15.42 |
| 96103 |
|
12 |
12 |
$13.50 |
| 0296T |
|
18 |
12 |
$2.78 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
21 |
15 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
78 |
46 |
$0.00 |