| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,887 |
1,573 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
947 |
746 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
338 |
292 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
699 |
307 |
$7K |
| 99243 |
|
52 |
51 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
462 |
416 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
233 |
189 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
76 |
64 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
16 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$679.72 |
| 80305 |
|
66 |
54 |
$455.65 |
| 81003 |
|
206 |
181 |
$284.41 |
| 81025 |
|
54 |
47 |
$246.66 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
75 |
66 |
$107.74 |
| 36415 |
Collection of venous blood by venipuncture |
102 |
88 |
$102.88 |
| 92551 |
|
12 |
12 |
$78.49 |
| 99173 |
|
13 |
13 |
$71.58 |
| 93016 |
|
16 |
14 |
$60.22 |
| 96127 |
|
19 |
12 |
$59.32 |
| 93018 |
|
16 |
14 |
$54.46 |
| 81002 |
|
27 |
25 |
$34.76 |
| 99051 |
|
32 |
26 |
$0.00 |