| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,485 |
18,430 |
$92K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,975 |
5,834 |
$46K |
| 51700 |
|
6,699 |
4,938 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,447 |
7,417 |
$29K |
| 51728 |
|
905 |
890 |
$22K |
| 51798 |
|
8,016 |
7,436 |
$19K |
| 52000 |
|
2,506 |
2,429 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,602 |
2,422 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,636 |
4,879 |
$8K |
| 74018 |
|
4,421 |
4,214 |
$7K |
| J1071 |
Injection, testosterone cypionate, 1 mg |
11,337 |
8,123 |
$6K |
| 84153 |
|
5,605 |
5,493 |
$6K |
| 51784 |
|
970 |
956 |
$5K |
| 81003 |
|
17,913 |
14,482 |
$5K |
| 51797 |
|
855 |
842 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,196 |
4,208 |
$3K |
| 84403 |
|
2,668 |
2,629 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,765 |
5,469 |
$2K |
| 51725 |
|
660 |
649 |
$2K |
| 84270 |
|
2,639 |
2,603 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
149 |
149 |
$2K |
| 51741 |
|
1,099 |
1,084 |
$2K |
| 74178 |
|
109 |
109 |
$2K |
| 80047 |
|
3,283 |
3,218 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
961 |
741 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,068 |
2,980 |
$716.59 |
| 87088 |
|
1,312 |
1,244 |
$515.74 |
| 85014 |
|
3,213 |
3,157 |
$487.38 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,193 |
783 |
$372.29 |
| 85018 |
|
3,195 |
3,145 |
$322.82 |
| 87184 |
|
1,294 |
1,240 |
$230.68 |
| 51702 |
|
13 |
12 |
$150.34 |
| 99215 |
Prolong outpt/office vis |
137 |
115 |
$133.20 |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
12 |
12 |
$107.56 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
124 |
124 |
$67.60 |
| J3480 |
Injection, potassium chloride, per 2 meq |
180 |
177 |
$0.10 |
| 96402 |
|
12 |
12 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
168 |
129 |
$0.00 |