| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,409 |
3,100 |
$137K |
| 11721 |
|
863 |
784 |
$20K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
98 |
55 |
$7K |
| 97597 |
|
114 |
74 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
34 |
$2K |
| 87640 |
|
67 |
56 |
$1K |
| 87481 |
|
48 |
42 |
$854.92 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$569.54 |
| 11056 |
|
18 |
12 |
$445.42 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
54 |
31 |
$133.28 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
55 |
31 |
$20.64 |
| 28890 |
|
65 |
30 |
$0.00 |