| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,280 |
1,893 |
$97K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
729 |
656 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
479 |
431 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
563 |
491 |
$16K |
| 99215 |
Prolong outpt/office vis |
235 |
207 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
941 |
413 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,435 |
1,230 |
$9K |
| 99205 |
Prolong outpt/office vis |
73 |
68 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
428 |
386 |
$4K |
| 81003 |
|
519 |
450 |
$754.01 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
646 |
567 |
$627.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,161 |
1,004 |
$423.77 |
| 81025 |
|
29 |
26 |
$170.37 |
| 74018 |
|
14 |
12 |
$133.35 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$127.80 |
| 93000 |
|
14 |
13 |
$58.38 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
404 |
332 |
$27.19 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
97 |
72 |
$8.55 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
183 |
121 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
47 |
25 |
$0.00 |