| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,056 |
1,762 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,282 |
1,089 |
$56K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,164 |
449 |
$20K |
| 90791 |
Psychiatric diagnostic evaluation |
278 |
217 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
462 |
401 |
$17K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
96 |
84 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
106 |
91 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
626 |
464 |
$4K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
350 |
273 |
$2K |
| 99221 |
|
14 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$662.98 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$629.06 |
| 36415 |
Collection of venous blood by venipuncture |
572 |
523 |
$593.29 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
26 |
$495.10 |
| 81002 |
|
94 |
88 |
$143.06 |
| 90686 |
|
15 |
13 |
$119.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
497 |
397 |
$100.07 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
93 |
81 |
$64.33 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |