| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,038 |
6,436 |
$567K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,693 |
2,438 |
$242K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,325 |
1,136 |
$131K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
779 |
771 |
$82K |
| 11721 |
|
1,791 |
1,596 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
65 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
92 |
91 |
$8K |
| 99215 |
Prolong outpt/office vis |
28 |
27 |
$4K |
| 99201 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
117 |
75 |
$14.89 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
25 |
$0.00 |