| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,288 |
1,745 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,262 |
993 |
$47K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
940 |
639 |
$12K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
217 |
175 |
$3K |
| 99215 |
Prolong outpt/office vis |
44 |
36 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
18 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106 |
89 |
$879.54 |
| 36415 |
Collection of venous blood by venipuncture |
468 |
369 |
$558.98 |
| 90686 |
|
73 |
57 |
$457.08 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
15 |
$338.49 |
| 99401 |
|
20 |
14 |
$247.83 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
12 |
$241.78 |
| 99490 |
Ccm add 20min |
181 |
159 |
$227.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
32 |
$225.06 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
109 |
93 |
$172.96 |
| 96127 |
|
39 |
27 |
$160.77 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
77 |
46 |
$40.15 |
| 81003 |
|
17 |
13 |
$21.88 |
| 99072 |
|
55 |
41 |
$0.00 |