| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,147 |
19,335 |
$1.12M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,248 |
9,972 |
$605K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,659 |
6,031 |
$404K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,676 |
1,522 |
$121K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,464 |
1,259 |
$65K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
937 |
928 |
$61K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,169 |
1,957 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
186 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,515 |
1,434 |
$9K |
| 91300 |
|
78 |
77 |
$4K |
| 99051 |
|
2,762 |
2,676 |
$4K |
| 86580 |
|
961 |
733 |
$3K |
| 99201 |
|
46 |
46 |
$3K |
| 81002 |
|
1,423 |
1,331 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
88 |
88 |
$751.37 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
383 |
339 |
$725.99 |
| 90715 |
|
16 |
16 |
$435.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
54 |
52 |
$34.84 |
| 90734 |
|
17 |
17 |
$15.00 |
| 99000 |
|
115 |
101 |
$0.00 |
| 0001A |
|
14 |
14 |
$0.00 |