| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,798 |
1,506 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
188 |
177 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
476 |
395 |
$8K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
233 |
215 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
320 |
295 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
269 |
146 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
57 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
24 |
$703.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
298 |
267 |
$555.32 |
| 81003 |
|
20 |
19 |
$2.77 |