| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,388 |
9,228 |
$350K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,110 |
5,739 |
$189K |
| 99215 |
Prolong outpt/office vis |
451 |
354 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
155 |
135 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
748 |
572 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
910 |
764 |
$2K |
| 81003 |
|
1,423 |
1,169 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
38 |
$947.49 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
184 |
146 |
$926.89 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$702.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
30 |
$604.21 |
| 93000 |
|
27 |
24 |
$394.59 |
| 90674 |
|
26 |
22 |
$273.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
35 |
$197.61 |
| 90756 |
|
14 |
13 |
$169.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
14 |
$141.38 |
| 80305 |
|
14 |
12 |
$122.89 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
15 |
12 |
$93.56 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
34 |
25 |
$91.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
226 |
180 |
$88.51 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
17 |
12 |
$39.63 |
| G0008 |
Administration of influenza virus vaccine |
17 |
12 |
$23.75 |