| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,998 |
7,323 |
$546K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,478 |
7,037 |
$353K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,889 |
1,133 |
$70K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,290 |
1,213 |
$64K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,083 |
2,135 |
$46K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
511 |
484 |
$35K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
60 |
47 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
658 |
455 |
$6K |
| 87807 |
|
386 |
202 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
245 |
146 |
$3K |
| 81025 |
|
1,025 |
732 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
25 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
41 |
$2K |
| 99215 |
Prolong outpt/office vis |
34 |
13 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$805.56 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
17 |
$639.35 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$438.46 |
| 81003 |
|
65 |
46 |
$137.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19 |
12 |
$43.19 |