| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
417 |
374 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
388 |
342 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
277 |
191 |
$9K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
245 |
225 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
99 |
94 |
$3K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
44 |
$587.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
30 |
$294.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
152 |
87 |
$240.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
13 |
$210.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
59 |
30 |
$1.18 |
| 99406 |
|
44 |
41 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
57 |
29 |
$0.00 |