| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,384 |
1,152 |
$87K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,718 |
1,567 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,331 |
1,071 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,802 |
1,565 |
$54K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
981 |
726 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
399 |
353 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
232 |
135 |
$5K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
326 |
248 |
$2K |
| 81002 |
|
558 |
454 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
99 |
88 |
$1K |
| 99000 |
|
122 |
62 |
$878.73 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
420 |
315 |
$643.78 |
| 69210 |
|
12 |
12 |
$214.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
113 |
73 |
$93.57 |
| 99051 |
|
26 |
21 |
$0.00 |