| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,435 |
4,305 |
$210K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
625 |
620 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
239 |
231 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,796 |
1,759 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
343 |
166 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
54 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
126 |
70 |
$822.36 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$710.80 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
120 |
56 |
$675.57 |
| 99223 |
Prolong inpt eval add15 m |
35 |
27 |
$547.58 |
| 81002 |
|
53 |
53 |
$82.42 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$9.57 |
| 1036F |
|
14 |
13 |
$0.00 |
| 3074F |
|
16 |
16 |
$0.00 |