| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
835 |
813 |
$72K |
| 99215 |
Prolong outpt/office vis |
785 |
735 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
555 |
530 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
190 |
190 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
118 |
115 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
260 |
253 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
137 |
$814.32 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
183 |
173 |
$483.29 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
73 |
72 |
$467.48 |
| 81003 |
|
15 |
15 |
$14.15 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$7.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
46 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34 |
32 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |