| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,699 |
5,253 |
$267K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,558 |
1,885 |
$127K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,976 |
1,591 |
$98K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
954 |
474 |
$69K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,277 |
1,289 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,691 |
2,250 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
460 |
392 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,308 |
740 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
413 |
260 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
73 |
$6K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
195 |
163 |
$701.39 |
| 81003 |
|
254 |
201 |
$354.88 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
188 |
150 |
$245.22 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
56 |
39 |
$184.29 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
114 |
82 |
$82.08 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$20.64 |