| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,120 |
3,673 |
$302K |
| 99215 |
Prolong outpt/office vis |
704 |
629 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
729 |
697 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
78 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
416 |
336 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
245 |
233 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
236 |
233 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
55 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
27 |
$2K |
| 81002 |
|
292 |
262 |
$756.64 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
39 |
35 |
$522.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$27.71 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$19.04 |
| 36415 |
Collection of venous blood by venipuncture |
69 |
57 |
$10.20 |