| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,231 |
11,145 |
$644K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,317 |
1,151 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,286 |
1,182 |
$72K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,637 |
1,928 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,500 |
964 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,657 |
2,192 |
$25K |
| 94760 |
|
1,005 |
941 |
$5K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
662 |
516 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,042 |
819 |
$829.02 |
| 81002 |
|
52 |
41 |
$101.96 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$26.90 |