| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,552 |
1,129 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
647 |
464 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
722 |
526 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
292 |
190 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
238 |
196 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
146 |
126 |
$2K |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
74 |
63 |
$1K |
| 36416 |
|
592 |
439 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
104 |
71 |
$826.50 |
| 81025 |
|
110 |
92 |
$534.37 |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
26 |
$457.28 |
| 81003 |
|
228 |
168 |
$286.99 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
13 |
$181.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
103 |
87 |
$46.24 |
| 99051 |
|
13 |
12 |
$0.00 |