| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,823 |
2,229 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,520 |
2,775 |
$73K |
| 99215 |
Prolong outpt/office vis |
305 |
253 |
$13K |
| 80305 |
|
1,610 |
1,240 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
381 |
241 |
$3K |
| 90674 |
|
80 |
75 |
$491.15 |
| 36415 |
Collection of venous blood by venipuncture |
659 |
575 |
$398.37 |
| 99442 |
|
27 |
25 |
$242.89 |
| 1159F |
|
96 |
91 |
$100.00 |
| 3008F |
|
96 |
91 |
$100.00 |
| 3074F |
|
40 |
38 |
$60.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
31 |
28 |
$56.10 |
| 90756 |
|
15 |
14 |
$47.98 |
| 3078F |
|
13 |
12 |
$30.00 |
| 81002 |
|
27 |
26 |
$15.88 |
| 3077F |
|
13 |
12 |
$10.00 |
| G0008 |
Administration of influenza virus vaccine |
54 |
52 |
$0.94 |