| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,567 |
5,550 |
$323K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,858 |
8,510 |
$224K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,861 |
1,854 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,719 |
2,600 |
$50K |
| 99000 |
|
6,156 |
5,934 |
$22K |
| 94642 |
|
207 |
204 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
415 |
412 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
463 |
461 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
815 |
806 |
$15K |
| 0011A |
|
284 |
284 |
$11K |
| 0012A |
|
276 |
276 |
$11K |
| H0033 |
Oral medication administration, direct observation |
432 |
431 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
70 |
70 |
$5K |
| 0013A |
|
114 |
114 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
559 |
551 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
260 |
259 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
22 |
19 |
$2K |
| 81002 |
|
981 |
961 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
246 |
244 |
$898.19 |
| 86580 |
|
227 |
221 |
$732.81 |
| 0001A |
|
14 |
14 |
$560.00 |
| 0002A |
|
14 |
14 |
$560.00 |
| 81025 |
|
173 |
168 |
$489.18 |
| 87807 |
|
60 |
60 |
$483.36 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
38 |
38 |
$178.76 |
| 85018 |
|
12 |
12 |
$24.60 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$9.26 |
| 1036F |
|
287 |
287 |
$0.00 |