| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,064 |
7,514 |
$358K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
969 |
869 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,657 |
1,427 |
$42K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
4,533 |
3,830 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
139 |
122 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
739 |
609 |
$6K |
| 92567 |
|
458 |
390 |
$4K |
| 69210 |
|
204 |
149 |
$3K |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
34 |
$968.89 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
13 |
$840.82 |
| 69209 |
|
106 |
97 |
$729.79 |
| 99441 |
|
59 |
53 |
$291.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
535 |
431 |
$136.97 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
67 |
53 |
$109.97 |
| 87276 |
|
82 |
60 |
$12.36 |
| 87275 |
|
84 |
61 |
$11.39 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
38 |
35 |
$1.65 |