| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,285 |
3,412 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,723 |
1,430 |
$71K |
| 36415 |
Collection of venous blood by venipuncture |
1,416 |
1,071 |
$402.06 |
| 90756 |
|
39 |
34 |
$319.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$99.85 |
| 90656 |
|
15 |
15 |
$75.25 |
| 81003 |
|
110 |
44 |
$24.86 |
| 90688 |
|
31 |
12 |
$15.26 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
178 |
94 |
$11.82 |
| 81002 |
|
37 |
27 |
$6.07 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
47 |
28 |
$0.00 |
| 3074F |
|
127 |
81 |
$0.00 |
| 1126F |
|
13 |
13 |
$0.00 |
| 3008F |
|
650 |
510 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
136 |
120 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
59 |
30 |
$0.00 |
| 1125F |
|
51 |
42 |
$0.00 |
| 3079F |
|
22 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
121 |
108 |
$0.00 |
| 1159F |
|
13 |
13 |
$0.00 |
| 3078F |
|
97 |
57 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18 |
13 |
$0.00 |