| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,083 |
2,623 |
$128K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,891 |
1,047 |
$84K |
| 99201 |
|
3,093 |
1,578 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
679 |
355 |
$32K |
| 99215 |
Prolong outpt/office vis |
488 |
267 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
623 |
460 |
$23K |
| 99199 |
Unlisted special service, procedure or report |
4,159 |
3,884 |
$16K |
| 99205 |
Prolong outpt/office vis |
125 |
77 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
946 |
450 |
$6K |
| 99354 |
|
31 |
15 |
$1K |
| 80305 |
|
169 |
89 |
$824.14 |
| 36415 |
Collection of venous blood by venipuncture |
697 |
328 |
$585.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
45 |
35 |
$437.97 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
12 |
$183.14 |
| 81003 |
|
183 |
90 |
$180.99 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
14 |
$174.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
28 |
$125.26 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
47 |
31 |
$105.93 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
44 |
30 |
$15.48 |
| 90832 |
Psychotherapy, 30 minutes with patient |
25 |
12 |
$14.24 |
| 99000 |
|
1,181 |
855 |
$0.00 |