| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,242 |
4,589 |
$204K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
637 |
571 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
383 |
340 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,137 |
907 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,425 |
632 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,515 |
1,332 |
$14K |
| 94760 |
|
506 |
482 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
273 |
249 |
$548.31 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
596 |
518 |
$448.74 |
| 81002 |
|
179 |
168 |
$419.54 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
14 |
$267.92 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
106 |
92 |
$181.35 |