| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,603 |
4,898 |
$210K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,916 |
6,990 |
$164K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,067 |
2,610 |
$39K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
247 |
238 |
$6K |
| 90674 |
|
181 |
179 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
27 |
$3K |
| 90756 |
|
180 |
180 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
187 |
174 |
$777.02 |
| 99000 |
|
363 |
326 |
$641.97 |
| 93000 |
|
16 |
16 |
$354.62 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
80 |
76 |
$240.62 |
| G0008 |
Administration of influenza virus vaccine |
189 |
187 |
$238.82 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
167 |
151 |
$214.31 |
| 81003 |
|
170 |
161 |
$180.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
387 |
374 |
$176.58 |
| 83721 |
|
137 |
135 |
$142.33 |
| 81000 |
|
58 |
48 |
$125.26 |
| 3078F |
|
1,804 |
1,693 |
$110.42 |
| 90661 |
|
12 |
12 |
$109.02 |
| 80053 |
Comprehensive metabolic panel |
199 |
193 |
$76.96 |
| 80061 |
Lipid panel |
140 |
137 |
$70.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
51 |
$51.77 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
191 |
190 |
$49.74 |
| 20610 |
|
23 |
12 |
$47.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
31 |
25 |
$47.03 |
| 36415 |
Collection of venous blood by venipuncture |
169 |
160 |
$38.91 |
| 82652 |
|
40 |
40 |
$37.73 |
| 80076 |
|
54 |
54 |
$8.01 |
| 99072 |
|
81 |
63 |
$0.00 |
| 3074F |
|
2,120 |
1,988 |
$0.00 |
| 3079F |
|
472 |
445 |
$0.00 |
| 82746 |
|
12 |
12 |
$0.00 |
| 3075F |
|
167 |
160 |
$0.00 |
| 96156 |
|
12 |
12 |
$0.00 |
| 86769 |
|
16 |
16 |
$0.00 |
| 82607 |
|
12 |
12 |
$0.00 |