| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,404 |
18,145 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,461 |
983 |
$93K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,591 |
4,685 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,100 |
861 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
200 |
198 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
48 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
398 |
340 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
222 |
215 |
$3K |
| 81002 |
|
645 |
563 |
$1K |
| 3061F |
|
49 |
44 |
$700.01 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
30 |
$637.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
89 |
78 |
$636.00 |
| 73630 |
|
48 |
46 |
$304.50 |
| E0112 |
Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips |
13 |
12 |
$276.12 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
33 |
33 |
$260.21 |
| 73610 |
|
16 |
15 |
$215.20 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$152.35 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$18.04 |
| 1101F |
|
1,585 |
1,280 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| 3288F |
|
1,736 |
1,416 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
17 |
$0.00 |