| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,082 |
955 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
357 |
338 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
304 |
301 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
287 |
287 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
183 |
175 |
$4K |
| 99215 |
Prolong outpt/office vis |
32 |
29 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
898 |
842 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
49 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
240 |
226 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
196 |
192 |
$385.17 |
| 71046 |
Radiologic examination, chest; 2 views |
23 |
22 |
$197.84 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$18.04 |
| 94664 |
|
14 |
12 |
$8.44 |