| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,090 |
3,867 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,418 |
1,410 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$440.00 |
| 73630 |
|
12 |
12 |
$220.00 |
| 71046 |
Radiologic examination, chest; 2 views |
47 |
41 |
$54.42 |
| 81000 |
|
201 |
198 |
$13.47 |
| 99000 |
|
216 |
211 |
$10.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
263 |
254 |
$8.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
286 |
137 |
$0.00 |
| 81025 |
|
14 |
14 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$0.00 |