| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,578 |
5,840 |
$314K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,564 |
1,361 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
363 |
329 |
$25K |
| 87428 |
|
170 |
152 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
621 |
563 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
280 |
239 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
360 |
164 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
68 |
62 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
26 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
185 |
164 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
50 |
45 |
$649.54 |
| 81003 |
|
194 |
170 |
$353.84 |
| 81025 |
|
55 |
45 |
$278.59 |
| 81002 |
|
30 |
27 |
$69.66 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
28 |
26 |
$35.40 |
| 99000 |
|
2,586 |
2,302 |
$1.80 |