| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,600 |
1,171 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,555 |
1,380 |
$42K |
| 95912 |
|
258 |
229 |
$30K |
| 95886 |
|
553 |
458 |
$25K |
| 95911 |
|
252 |
198 |
$17K |
| 20553 |
|
951 |
802 |
$15K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
634 |
577 |
$4K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
302 |
226 |
$2K |
| J0130 |
Injection abciximab, 10 mg |
35 |
20 |
$364.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
31 |
$357.46 |
| 99199 |
Unlisted special service, procedure or report |
38 |
38 |
$95.00 |
| 80305 |
|
12 |
12 |
$68.05 |