| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,315 |
4,190 |
$169K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,869 |
1,581 |
$78K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,544 |
660 |
$12K |
| 87428 |
|
217 |
195 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
902 |
791 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
60 |
$5K |
| 93000 |
|
416 |
335 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
80 |
65 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
154 |
124 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,510 |
1,273 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
92 |
76 |
$860.85 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
418 |
357 |
$823.83 |
| 86308 |
|
210 |
187 |
$718.83 |
| 81002 |
|
504 |
435 |
$717.82 |
| 81025 |
|
20 |
14 |
$67.53 |
| 99000 |
|
757 |
645 |
$3.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
26 |
$2.63 |