| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,436 |
27,834 |
$1.94M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,062 |
7,879 |
$745K |
| 87428 |
|
2,947 |
2,934 |
$203K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,136 |
1,128 |
$106K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,239 |
5,209 |
$86K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,024 |
2,017 |
$61K |
| 87807 |
|
1,078 |
1,070 |
$13K |
| 87420 |
|
291 |
290 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
24 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
44 |
43 |
$3K |
| 87430 |
|
145 |
139 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
122 |
119 |
$2K |
| 99215 |
Prolong outpt/office vis |
17 |
15 |
$2K |
| 81003 |
|
854 |
844 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
24 |
22 |
$432.69 |
| 81025 |
|
39 |
39 |
$365.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
160 |
160 |
$216.58 |
| 99050 |
|
16 |
15 |
$170.00 |
| 81002 |
|
12 |
12 |
$16.35 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
49 |
49 |
$16.28 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
12 |
12 |
$10.67 |
| 99000 |
|
17 |
12 |
$0.00 |
| 87400 |
|
109 |
99 |
$0.00 |