| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,879 |
13,279 |
$704K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,706 |
6,424 |
$483K |
| 87430 |
|
1,113 |
1,058 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
793 |
366 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
284 |
259 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,320 |
2,117 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
42 |
$4K |
| 81003 |
|
1,427 |
1,397 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
162 |
155 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 87400 |
|
136 |
65 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
217 |
213 |
$771.35 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
278 |
270 |
$408.61 |
| 81025 |
|
24 |
24 |
$141.25 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
14 |
$88.54 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
25 |
24 |
$33.93 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$11.24 |