| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,004 |
4,449 |
$224K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,932 |
1,452 |
$34K |
| 99199 |
Unlisted special service, procedure or report |
6,930 |
6,639 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
562 |
330 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,178 |
485 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
512 |
323 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
107 |
86 |
$7K |
| 80305 |
|
907 |
802 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
636 |
491 |
$5K |
| 81003 |
|
1,735 |
1,487 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
24 |
$1K |
| 82962 |
|
801 |
711 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
34 |
$550.92 |
| J3490 |
Unclassified drugs |
400 |
210 |
$380.00 |
| 99051 |
|
14 |
14 |
$168.48 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
32 |
31 |
$148.91 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
125 |
55 |
$23.70 |
| 99406 |
|
19 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
19 |
16 |
$0.00 |