| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,593 |
6,813 |
$366K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,703 |
4,052 |
$305K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
296 |
277 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,474 |
1,336 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,353 |
755 |
$13K |
| 87428 |
|
240 |
231 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
617 |
561 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
44 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
26 |
25 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
56 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
49 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
31 |
30 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
433 |
394 |
$2K |
| 99490 |
Ccm add 20min |
123 |
122 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20 |
12 |
$640.00 |