| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
772 |
604 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
772 |
625 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
560 |
281 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$552.62 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
66 |
53 |
$155.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$142.11 |
| 36415 |
Collection of venous blood by venipuncture |
101 |
88 |
$138.31 |
| 99407 |
|
16 |
13 |
$100.85 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
22 |
17 |
$66.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$61.83 |
| 99406 |
|
15 |
13 |
$51.09 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60 |
52 |
$43.18 |
| 3008F |
|
70 |
43 |
$30.00 |
| 82947 |
|
17 |
13 |
$11.72 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
16 |
$0.38 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$0.00 |