| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,212 |
1,560 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,799 |
2,196 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
527 |
417 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
852 |
641 |
$8K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
222 |
190 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
452 |
298 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
406 |
332 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
73 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
134 |
113 |
$4K |
| 99325 |
|
84 |
50 |
$1K |
| 99335 |
|
63 |
46 |
$1K |
| 80305 |
|
239 |
210 |
$1K |
| 87430 |
|
118 |
97 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$187.92 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
37 |
34 |
$156.32 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
78 |
67 |
$77.25 |
| 81003 |
|
165 |
125 |
$70.19 |
| 99334 |
|
18 |
17 |
$53.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
40 |
37 |
$15.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
28 |
$0.00 |