| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,676 |
3,665 |
$162K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,304 |
1,506 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
687 |
595 |
$23K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
213 |
156 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
944 |
771 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,859 |
1,399 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
355 |
277 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
253 |
165 |
$3K |
| 80305 |
|
149 |
133 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
216 |
75 |
$970.28 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
189 |
158 |
$371.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
260 |
215 |
$189.89 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
32 |
29 |
$178.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
18 |
$104.13 |
| 81003 |
|
219 |
167 |
$70.07 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
16 |
12 |
$46.96 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
24 |
$24.31 |
| 86317 |
|
22 |
22 |
$0.00 |
| 99024 |
|
25 |
13 |
$0.00 |