| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,922 |
13,005 |
$76K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
6,291 |
6,036 |
$34K |
| 99443 |
|
1,909 |
1,729 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
655 |
595 |
$17K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,275 |
6,026 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,105 |
1,665 |
$10K |
| 90662 |
|
511 |
506 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,311 |
1,998 |
$7K |
| 90674 |
|
116 |
116 |
$3K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
6,205 |
5,968 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,894 |
1,451 |
$3K |
| 90686 |
|
146 |
146 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
153 |
150 |
$992.39 |
| 90694 |
|
163 |
163 |
$810.10 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
15 |
$796.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
833 |
827 |
$408.02 |
| 99490 |
Ccm add 20min |
65 |
65 |
$296.40 |
| 99000 |
|
414 |
401 |
$234.81 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
178 |
157 |
$189.59 |
| G0008 |
Administration of influenza virus vaccine |
225 |
220 |
$148.95 |
| 90653 |
|
43 |
43 |
$67.72 |
| A4463 |
Surgical dressing holder, reusable, each |
164 |
156 |
$40.86 |
| 36415 |
Collection of venous blood by venipuncture |
327 |
315 |
$0.00 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
16 |
16 |
$0.00 |