| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,633 |
4,420 |
$241K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
999 |
578 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,484 |
1,612 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
515 |
301 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
204 |
31 |
$389.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
144 |
60 |
$278.90 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,628 |
1,002 |
$241.42 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,335 |
832 |
$219.35 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,428 |
873 |
$118.50 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
108 |
97 |
$27.13 |
| 81003 |
|
59 |
41 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
23 |
13 |
$0.00 |