| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,171 |
1,943 |
$182K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,405 |
2,190 |
$139K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,175 |
1,175 |
$102K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
633 |
633 |
$84K |
| 98969 |
|
742 |
720 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
721 |
660 |
$15K |
| 99406 |
|
1,226 |
1,058 |
$15K |
| 99215 |
Prolong outpt/office vis |
79 |
78 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
607 |
597 |
$8K |
| 99051 |
|
1,014 |
999 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
61 |
61 |
$5K |
| 99205 |
Prolong outpt/office vis |
22 |
22 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
129 |
129 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
68 |
$1K |
| 81025 |
|
130 |
130 |
$922.89 |
| 36415 |
Collection of venous blood by venipuncture |
205 |
201 |
$508.57 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
178 |
160 |
$343.08 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
130 |
126 |
$236.70 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
43 |
41 |
$170.52 |
| 90656 |
|
35 |
35 |
$157.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
107 |
104 |
$23.80 |