| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,929 |
3,562 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,655 |
1,359 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
824 |
801 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
765 |
728 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
337 |
325 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
521 |
429 |
$5K |
| 87807 |
|
43 |
43 |
$423.52 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
28 |
25 |
$333.61 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
23 |
$286.63 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
75 |
57 |
$250.97 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$133.85 |
| 81002 |
|
41 |
41 |
$104.05 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
42 |
41 |
$91.16 |