| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,412 |
8,185 |
$570K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,697 |
4,266 |
$201K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,568 |
834 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,391 |
1,193 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
396 |
304 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
37 |
$2K |
| 99215 |
Prolong outpt/office vis |
83 |
80 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
159 |
105 |
$2K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
16 |
16 |
$2K |
| 90686 |
|
97 |
82 |
$2K |
| 87807 |
|
151 |
85 |
$2K |
| 0004A |
|
68 |
55 |
$1K |
| 81025 |
|
521 |
477 |
$1K |
| 0124A |
|
41 |
41 |
$520.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
16 |
15 |
$261.08 |
| 99310 |
Prolong nursin fac eval 15m |
30 |
30 |
$217.82 |
| 81003 |
|
25 |
25 |
$54.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
62 |
$0.00 |