| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
641 |
448 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
78 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
235 |
157 |
$3K |
| 80305 |
|
356 |
280 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
33 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
186 |
82 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
44 |
32 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$842.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
48 |
41 |
$692.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
59 |
$645.92 |
| 83037 |
|
19 |
19 |
$139.89 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
16 |
$121.29 |
| 82962 |
|
16 |
14 |
$30.91 |
| 81003 |
|
55 |
43 |
$30.25 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
155 |
83 |
$0.00 |