| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,915 |
2,975 |
$304K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,076 |
1,558 |
$234K |
| 99215 |
Prolong outpt/office vis |
2,221 |
1,637 |
$208K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,139 |
2,293 |
$175K |
| 99205 |
Prolong outpt/office vis |
508 |
371 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
682 |
488 |
$56K |
| 99199 |
Unlisted special service, procedure or report |
11,505 |
11,178 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,553 |
1,164 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
483 |
412 |
$6K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
934 |
706 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
42 |
39 |
$709.73 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
849 |
658 |
$424.52 |
| 70220 |
|
12 |
12 |
$273.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
136 |
114 |
$80.58 |