| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
972 |
574 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
275 |
181 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
458 |
260 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
320 |
186 |
$570.15 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
263 |
173 |
$404.19 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
19 |
$168.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
33 |
26 |
$43.93 |
| T1015 |
Clinic visit/encounter, all-inclusive |
561 |
314 |
$20.00 |
| 3078F |
|
427 |
306 |
$5.00 |
| 3074F |
|
557 |
387 |
$5.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
22 |
12 |
$1.04 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
78 |
26 |
$0.00 |
| 3079F |
|
40 |
32 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
91 |
73 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
25 |
13 |
$0.00 |