| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,404 |
5,119 |
$278K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,942 |
2,390 |
$149K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,894 |
1,379 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
571 |
293 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
128 |
107 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
100 |
90 |
$8K |
| 93000 |
|
350 |
327 |
$7K |
| 90686 |
|
359 |
293 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
172 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
170 |
127 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
741 |
533 |
$1K |
| 82947 |
|
304 |
255 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
137 |
97 |
$954.89 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
31 |
14 |
$886.50 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
57 |
40 |
$658.33 |
| 85018 |
|
228 |
199 |
$522.00 |
| 81003 |
|
168 |
132 |
$361.88 |
| 90734 |
|
15 |
15 |
$226.75 |
| 99173 |
|
13 |
13 |
$96.85 |
| 36416 |
|
14 |
12 |
$41.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19 |
13 |
$14.00 |
| 99072 |
|
158 |
127 |
$0.00 |