| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
644 |
588 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
699 |
543 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
90 |
87 |
$821.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
27 |
$254.28 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
59 |
54 |
$0.15 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
190 |
149 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
133 |
115 |
$0.00 |
| 99152 |
|
61 |
54 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
105 |
72 |
$0.00 |
| 76000 |
|
28 |
25 |
$0.00 |
| 99173 |
|
22 |
22 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
58 |
52 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
40 |
39 |
$0.00 |
| 64490 |
|
24 |
24 |
$0.00 |
| 3008F |
|
38 |
35 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
111 |
55 |
$0.00 |