| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,117 |
1,013 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
808 |
731 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
92 |
91 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
145 |
144 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
236 |
229 |
$3K |
| 99051 |
|
248 |
243 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
19 |
18 |
$220.11 |
| 81002 |
|
143 |
131 |
$169.02 |