| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,145 |
6,878 |
$365K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
565 |
546 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
112 |
106 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
160 |
147 |
$8K |
| 99215 |
Prolong outpt/office vis |
114 |
107 |
$7K |
| 99051 |
|
1,385 |
1,299 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
348 |
329 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
315 |
159 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
102 |
74 |
$377.42 |
| 81025 |
|
30 |
28 |
$166.60 |
| 81003 |
|
74 |
70 |
$121.51 |
| 81002 |
|
42 |
42 |
$94.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
29 |
27 |
$19.00 |