| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,120 |
1,941 |
$123K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,211 |
1,155 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,222 |
1,124 |
$49K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
762 |
359 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
426 |
401 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,028 |
1,469 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
16 |
$2K |
| 81025 |
|
184 |
174 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,442 |
1,332 |
$863.24 |
| 81003 |
|
368 |
347 |
$735.03 |
| 71046 |
Radiologic examination, chest; 2 views |
46 |
33 |
$658.50 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
97 |
88 |
$628.23 |
| 73630 |
|
19 |
13 |
$274.40 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
105 |
87 |
$63.47 |
| 82948 |
|
14 |
14 |
$22.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
78 |
55 |
$2.64 |
| 99070 |
|
19 |
16 |
$0.00 |