| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,308 |
5,485 |
$173K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,797 |
2,310 |
$56K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,181 |
1,866 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,014 |
2,670 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
393 |
355 |
$18K |
| 87631 |
|
142 |
139 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
155 |
151 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,498 |
1,317 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
334 |
281 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
35 |
24 |
$871.52 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
13 |
$592.80 |
| 87807 |
|
55 |
49 |
$478.14 |
| 81002 |
|
29 |
25 |
$27.34 |
| 81003 |
|
67 |
61 |
$13.07 |
| 1160F |
|
28 |
25 |
$0.02 |
| 1159F |
|
28 |
25 |
$0.02 |