| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,485 |
3,199 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,533 |
1,312 |
$65K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
825 |
799 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
332 |
327 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
304 |
293 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
320 |
273 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
30 |
$347.88 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
26 |
$341.42 |
| 87807 |
|
12 |
12 |
$110.66 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
14 |
$85.36 |
| 81002 |
|
12 |
12 |
$31.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$4.81 |