| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,115 |
814 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,136 |
875 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
248 |
191 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
251 |
151 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
50 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
67 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
88 |
80 |
$948.63 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$528.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
31 |
30 |
$23.64 |