| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,701 |
8,233 |
$336K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,031 |
1,744 |
$85K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,586 |
2,181 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
543 |
480 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
831 |
752 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
42 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,148 |
998 |
$2K |
| 81003 |
|
543 |
456 |
$673.85 |
| 36415 |
Collection of venous blood by venipuncture |
419 |
365 |
$612.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,082 |
943 |
$586.48 |
| 3008F |
|
2,477 |
2,036 |
$310.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$289.11 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
12 |
$163.65 |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
26 |
$134.52 |
| 99000 |
|
1,119 |
973 |
$0.00 |