| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,891 |
4,179 |
$288K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,073 |
4,165 |
$199K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,164 |
2,445 |
$142K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,758 |
1,260 |
$90K |
| 99051 |
|
5,284 |
3,980 |
$44K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,084 |
1,988 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
187 |
154 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
336 |
302 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,166 |
2,179 |
$6K |
| 87807 |
|
742 |
368 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
682 |
404 |
$2K |
| 81002 |
|
1,556 |
1,022 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
265 |
210 |
$2K |
| 81025 |
|
582 |
331 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
712 |
564 |
$1K |
| 80053 |
Comprehensive metabolic panel |
251 |
132 |
$1K |
| 86308 |
|
206 |
127 |
$457.82 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
56 |
$420.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,590 |
1,181 |
$412.58 |
| 86318 |
|
14 |
13 |
$167.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
118 |
81 |
$2.30 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
116 |
83 |
$0.00 |