| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,971 |
3,204 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,244 |
3,303 |
$119K |
| 99222 |
Initial hospital care, per day, moderate complexity |
327 |
261 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
829 |
419 |
$7K |
| 99497 |
|
100 |
79 |
$2K |
| 96127 |
|
600 |
315 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
416 |
369 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
118 |
86 |
$683.43 |
| 99401 |
|
93 |
74 |
$348.17 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
48 |
26 |
$294.22 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
263 |
190 |
$109.09 |
| 1160F |
|
287 |
231 |
$100.00 |
| 1159F |
|
275 |
219 |
$100.00 |
| 1126F |
|
143 |
110 |
$70.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
12 |
$66.52 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
43 |
39 |
$60.72 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
17 |
14 |
$11.24 |
| 1125F |
|
15 |
12 |
$10.00 |
| 2000F |
|
355 |
293 |
$0.00 |
| 1000F |
|
169 |
137 |
$0.00 |
| 1036F |
|
54 |
42 |
$0.00 |
| 99080 |
|
14 |
13 |
$0.00 |
| 99499 |
|
17 |
13 |
$0.00 |
| 99072 |
|
23 |
15 |
$0.00 |