| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,785 |
1,618 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
466 |
430 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
83 |
83 |
$14K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
63 |
56 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
44 |
43 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
34 |
$1K |
| 80305 |
|
46 |
45 |
$301.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$26.37 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$6.98 |