| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,277 |
970 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
728 |
614 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
528 |
385 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
58 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
157 |
122 |
$865.45 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
80 |
$726.09 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
59 |
45 |
$529.44 |
| 3008F |
|
495 |
426 |
$500.00 |
| 1160F |
|
511 |
438 |
$490.00 |
| 1159F |
|
514 |
440 |
$490.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
143 |
112 |
$170.66 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$103.79 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
48 |
38 |
$32.29 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
34 |
25 |
$13.79 |