| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,984 |
5,509 |
$291K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,591 |
3,162 |
$264K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,245 |
1,163 |
$19K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
332 |
319 |
$11K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
134 |
117 |
$10K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
89 |
81 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
47 |
46 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$653.25 |
| 81003 |
|
257 |
232 |
$564.31 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
28 |
$341.87 |
| 90686 |
|
12 |
12 |
$89.98 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
13 |
$23.52 |