| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,240 |
4,693 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,409 |
2,009 |
$79K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,880 |
1,458 |
$27K |
| 94010 |
|
454 |
361 |
$7K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,027 |
855 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
74 |
59 |
$5K |
| 92567 |
|
297 |
245 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
27 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
163 |
126 |
$2K |
| 99407 |
|
55 |
51 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
107 |
50 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$590.75 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
16 |
$487.19 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
32 |
26 |
$198.28 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,450 |
1,207 |
$144.72 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
59 |
50 |
$22.36 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
25 |
22 |
$0.00 |