| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,081 |
1,975 |
$163K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
744 |
730 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
272 |
268 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
160 |
149 |
$290.82 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
116 |
110 |
$129.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
13 |
$51.00 |
| 81002 |
|
159 |
154 |
$35.36 |
| 81003 |
|
18 |
17 |
$2.39 |