| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,948 |
6,186 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,750 |
3,059 |
$20K |
| 87428 |
|
86 |
83 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
292 |
277 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
353 |
339 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
310 |
298 |
$2K |
| J0694 |
Injection, cefoxitin sodium, 1 gm |
186 |
183 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
178 |
176 |
$1K |
| 85018 |
|
558 |
541 |
$1K |
| 81000 |
|
486 |
457 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
195 |
177 |
$739.14 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
45 |
43 |
$725.24 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$600.60 |
| 80061 |
Lipid panel |
67 |
67 |
$590.41 |
| 82962 |
|
209 |
207 |
$415.59 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
69 |
67 |
$313.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
51 |
$209.64 |
| 81002 |
|
95 |
94 |
$189.09 |
| 93000 |
|
15 |
14 |
$140.16 |
| 92551 |
|
102 |
102 |
$137.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$60.76 |