| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,176 |
1,636 |
$136K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,640 |
2,068 |
$121K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
334 |
323 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
449 |
427 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
406 |
283 |
$4K |
| 82947 |
|
1,374 |
894 |
$3K |
| 36416 |
|
1,151 |
821 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
176 |
103 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,413 |
1,236 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
26 |
$2K |
| 90688 |
|
226 |
213 |
$2K |
| 81000 |
|
832 |
684 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
56 |
48 |
$1K |
| 85018 |
|
452 |
382 |
$916.04 |
| 94760 |
|
66 |
41 |
$64.48 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
12 |
$15.80 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
14 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
59 |
57 |
$0.00 |