| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,084 |
7,581 |
$268K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,447 |
2,931 |
$133K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,495 |
1,199 |
$51K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,327 |
3,137 |
$41K |
| 80305 |
|
13,638 |
6,176 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
620 |
467 |
$21K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,256 |
832 |
$13K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
3,391 |
2,421 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
211 |
155 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,589 |
1,059 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
232 |
194 |
$991.71 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
989 |
678 |
$496.46 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,668 |
3,074 |
$440.86 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
196 |
126 |
$79.67 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
35 |
27 |
$61.58 |
| 81003 |
|
274 |
169 |
$52.27 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,245 |
820 |
$13.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
85 |
78 |
$4.50 |
| S0028 |
Injection, famotidine, 20 mg |
1,138 |
738 |
$0.00 |
| 81025 |
|
166 |
133 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
87 |
69 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
18 |
15 |
$0.00 |