| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,430 |
8,698 |
$295K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,930 |
1,669 |
$71K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,881 |
2,905 |
$43K |
| 99205 |
Prolong outpt/office vis |
70 |
64 |
$6K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,227 |
1,054 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
481 |
445 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
288 |
222 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
50 |
48 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
30 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,328 |
1,152 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,132 |
979 |
$662.92 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
506 |
424 |
$479.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,529 |
1,317 |
$439.44 |
| 36415 |
Collection of venous blood by venipuncture |
256 |
236 |
$414.34 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
24 |
$333.91 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
209 |
180 |
$154.16 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
93 |
63 |
$71.95 |
| 81002 |
|
15 |
13 |
$27.46 |
| 99499 |
|
71 |
36 |
$0.00 |
| 1160F |
|
15 |
15 |
$0.00 |