| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,564 |
1,123 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
657 |
529 |
$30K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
84 |
53 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
202 |
143 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
69 |
$2K |
| 99383 |
|
23 |
15 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
113 |
80 |
$824.07 |
| 96127 |
|
124 |
85 |
$703.15 |
| 1160F |
|
512 |
455 |
$507.02 |
| 81002 |
|
185 |
144 |
$342.85 |
| 99173 |
|
59 |
47 |
$252.58 |
| 1159F |
|
131 |
119 |
$240.00 |
| 3008F |
|
464 |
411 |
$237.02 |
| 3074F |
|
353 |
323 |
$217.01 |
| 3078F |
|
236 |
219 |
$157.02 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$125.37 |
| 3079F |
|
146 |
132 |
$110.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
19 |
12 |
$88.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
12 |
$5.26 |
| 3075F |
|
14 |
14 |
$0.00 |