| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,951 |
1,642 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
613 |
533 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
656 |
507 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
455 |
387 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
404 |
368 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
113 |
111 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
95 |
72 |
$934.30 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
12 |
$102.61 |