| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,032 |
7,262 |
$255K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,391 |
1,750 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
112 |
$5K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
380 |
342 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
349 |
322 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,309 |
1,174 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
223 |
210 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
308 |
257 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$853.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
248 |
214 |
$384.19 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
565 |
511 |
$162.36 |
| 81003 |
|
419 |
358 |
$93.72 |
| 85027 |
|
13 |
12 |
$31.64 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
13 |
12 |
$22.15 |
| 3008F |
|
15 |
14 |
$0.00 |
| 2000F |
|
14 |
14 |
$0.00 |
| 2001F |
|
17 |
16 |
$0.00 |