| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
980 |
697 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
605 |
420 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
386 |
287 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
567 |
436 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
158 |
153 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
233 |
134 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
110 |
104 |
$2K |
| 99000 |
|
188 |
112 |
$1K |
| 81002 |
|
242 |
157 |
$569.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
12 |
$51.53 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
12 |
$8.10 |
| 99051 |
|
197 |
189 |
$0.00 |