| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,610 |
3,809 |
$297K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,277 |
1,078 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
285 |
251 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
527 |
196 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,454 |
1,184 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
29 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
188 |
173 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
552 |
486 |
$882.49 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
948 |
831 |
$853.41 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
33 |
$544.56 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
13 |
$491.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$182.00 |
| 82570 |
|
41 |
41 |
$168.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
42 |
36 |
$116.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
63 |
60 |
$106.24 |
| 82044 |
|
40 |
40 |
$81.00 |
| 81002 |
|
14 |
12 |
$23.22 |
| 3075F |
|
881 |
769 |
$0.00 |
| 3074F |
|
1,859 |
1,622 |
$0.00 |
| 3079F |
|
1,408 |
1,265 |
$0.00 |
| 3080F |
|
306 |
273 |
$0.00 |
| 3044F |
|
15 |
12 |
$0.00 |
| 99406 |
|
64 |
36 |
$0.00 |
| 3077F |
|
524 |
457 |
$0.00 |
| 3078F |
|
1,587 |
1,374 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |