| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,736 |
14,401 |
$898K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,957 |
10,265 |
$850K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,599 |
8,123 |
$265K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,578 |
2,079 |
$201K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,563 |
1,278 |
$172K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,708 |
4,537 |
$133K |
| 99199 |
Unlisted special service, procedure or report |
40,262 |
39,435 |
$122K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,721 |
4,005 |
$60K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,060 |
993 |
$55K |
| 80305 |
|
4,571 |
3,590 |
$51K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,312 |
1,918 |
$45K |
| 71046 |
Radiologic examination, chest; 2 views |
691 |
564 |
$14K |
| 81002 |
|
5,477 |
4,355 |
$12K |
| 81025 |
|
1,077 |
812 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,795 |
2,276 |
$6K |
| 93000 |
|
325 |
260 |
$4K |
| 74018 |
|
190 |
154 |
$3K |
| 82962 |
|
1,525 |
1,023 |
$3K |
| 72114 |
|
19 |
14 |
$865.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
684 |
520 |
$664.30 |
| 73630 |
|
24 |
15 |
$378.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
30 |
$286.67 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
90 |
60 |
$222.66 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
214 |
179 |
$117.36 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
34 |
26 |
$72.02 |
| 99000 |
|
561 |
516 |
$0.00 |