| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39,507 |
35,961 |
$4.63M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,068 |
5,964 |
$782K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
351 |
331 |
$3K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 81002 |
|
5,162 |
5,018 |
$765.03 |
| 97597 |
|
1,513 |
1,155 |
$552.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,510 |
1,475 |
$255.04 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$247.79 |
| 93000 |
|
1,180 |
1,166 |
$235.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
171 |
171 |
$144.46 |
| 99000 |
|
5,171 |
4,989 |
$45.00 |
| 69210 |
|
185 |
166 |
$30.53 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
418 |
404 |
$9.22 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
414 |
407 |
$6.65 |
| 87400 |
|
1,458 |
1,444 |
$5.79 |
| 90714 |
|
73 |
73 |
$3.77 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
140 |
137 |
$0.03 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
89 |
89 |
$0.00 |
| A4570 |
Splint |
39 |
39 |
$0.00 |
| 85018 |
|
62 |
62 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
133 |
129 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
41 |
41 |
$0.00 |
| 29540 |
|
12 |
12 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
457 |
456 |
$0.00 |
| 81025 |
|
1,651 |
1,615 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
99 |
99 |
$0.00 |
| 82948 |
|
27 |
27 |
$0.00 |