| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,470 |
6,006 |
$442K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,072 |
4,705 |
$221K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,936 |
2,628 |
$204K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
660 |
584 |
$71K |
| 99051 |
|
4,129 |
3,684 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,115 |
1,954 |
$27K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
570 |
476 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,892 |
873 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
485 |
443 |
$9K |
| 81025 |
|
946 |
881 |
$6K |
| 81003 |
|
1,867 |
1,742 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
419 |
391 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
573 |
494 |
$2K |
| 93000 |
|
147 |
128 |
$2K |
| 73630 |
|
93 |
83 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
170 |
157 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
341 |
314 |
$757.79 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
21 |
$690.58 |
| 74022 |
|
21 |
17 |
$615.10 |
| 73140 |
|
33 |
28 |
$600.52 |
| 80047 |
|
44 |
41 |
$396.91 |
| 73610 |
|
14 |
14 |
$279.38 |
| 73600 |
|
13 |
12 |
$244.48 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
45 |
42 |
$88.40 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
12 |
$21.29 |
| 99000 |
|
13 |
12 |
$0.00 |