| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,841 |
5,312 |
$293K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,330 |
4,328 |
$138K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
552 |
442 |
$12K |
| 99406 |
|
619 |
470 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
114 |
39 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
41 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
76 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,184 |
951 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
15 |
$854.14 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
12 |
$732.12 |
| 90686 |
|
50 |
47 |
$694.02 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
37 |
14 |
$651.56 |
| 99000 |
|
420 |
342 |
$6.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
43 |
38 |
$2.00 |
| 80305 |
|
116 |
78 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
49 |
$0.00 |
| 81005 |
|
105 |
88 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
16 |
13 |
$0.00 |
| 87430 |
|
20 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |