| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,073 |
16,295 |
$666K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,657 |
9,309 |
$548K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,631 |
6,584 |
$363K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,412 |
3,400 |
$131K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,415 |
1,388 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
251 |
251 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,024 |
981 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
339 |
330 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
132 |
130 |
$1K |
| 81025 |
|
150 |
148 |
$787.96 |
| 81003 |
|
395 |
380 |
$547.07 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
26 |
26 |
$251.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$25.02 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
21 |
21 |
$0.00 |