| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,016 |
7,984 |
$278K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,377 |
4,028 |
$165K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,230 |
1,069 |
$17K |
| 99407 |
|
987 |
887 |
$13K |
| 95943 |
|
74 |
68 |
$8K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
232 |
213 |
$4K |
| 95923 |
|
73 |
67 |
$3K |
| 93922 |
|
72 |
67 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
25 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$829.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
464 |
426 |
$290.54 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$246.97 |
| 36415 |
Collection of venous blood by venipuncture |
51 |
42 |
$186.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$163.17 |
| 90688 |
|
19 |
18 |
$139.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
15 |
$136.05 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
70 |
64 |
$96.85 |
| 3011F |
|
13 |
13 |
$10.50 |
| 3008F |
|
356 |
340 |
$0.13 |
| 1126F |
|
13 |
13 |
$0.06 |
| 1160F |
|
14 |
13 |
$0.00 |