| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
634 |
584 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
233 |
233 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
471 |
439 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
138 |
138 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
256 |
236 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
56 |
$883.22 |
| 99051 |
|
70 |
69 |
$446.10 |
| 99406 |
|
32 |
31 |
$403.52 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
151 |
148 |
$291.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$279.52 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
100 |
94 |
$159.36 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
14 |
$16.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
108 |
100 |
$11.55 |