| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,602 |
1,295 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,431 |
1,873 |
$61K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,327 |
958 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
652 |
568 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
620 |
299 |
$8K |
| 99421 |
|
904 |
756 |
$7K |
| 99452 |
|
287 |
242 |
$5K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
228 |
198 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,023 |
883 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
129 |
113 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
24 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
25 |
$1K |
| 96127 |
|
216 |
193 |
$519.45 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$516.42 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
532 |
481 |
$380.69 |
| 99401 |
|
34 |
34 |
$326.91 |
| 87807 |
|
30 |
26 |
$270.91 |
| 99407 |
|
31 |
27 |
$213.97 |
| 96160 |
|
100 |
95 |
$213.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
96 |
75 |
$186.35 |
| 97802 |
|
40 |
36 |
$115.70 |
| 97804 |
|
16 |
14 |
$45.24 |
| 81002 |
|
65 |
62 |
$16.53 |
| 99000 |
|
192 |
164 |
$0.00 |