| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,341 |
7,688 |
$529K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,695 |
1,336 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
580 |
542 |
$29K |
| 99215 |
Prolong outpt/office vis |
297 |
278 |
$29K |
| 99051 |
|
2,113 |
1,943 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,497 |
1,427 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,246 |
1,102 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
70 |
69 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
85 |
70 |
$1K |
| 94760 |
|
917 |
780 |
$974.33 |
| 81001 |
|
250 |
229 |
$697.55 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
410 |
377 |
$606.08 |
| 36415 |
Collection of venous blood by venipuncture |
285 |
261 |
$571.79 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
77 |
71 |
$544.96 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
185 |
166 |
$370.39 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
43 |
37 |
$87.79 |
| 81025 |
|
12 |
12 |
$77.50 |