| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,399 |
2,295 |
$93K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,020 |
694 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
182 |
177 |
$10K |
| 99348 |
|
258 |
163 |
$8K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
220 |
179 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
76 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
254 |
152 |
$3K |
| 99347 |
|
62 |
48 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
226 |
186 |
$831.86 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
184 |
154 |
$811.06 |
| 99349 |
|
26 |
15 |
$731.44 |
| 90686 |
|
54 |
50 |
$725.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
232 |
195 |
$715.51 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
64 |
$675.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
14 |
$447.12 |
| 90633 |
|
12 |
12 |
$280.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
32 |
$278.46 |
| 99173 |
|
17 |
16 |
$260.00 |
| 98966 |
|
38 |
32 |
$222.86 |
| 99401 |
|
19 |
18 |
$151.04 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
21 |
19 |
$143.12 |
| 86580 |
|
32 |
30 |
$108.59 |
| 87276 |
|
15 |
13 |
$80.93 |
| 87275 |
|
15 |
13 |
$78.39 |
| 81002 |
|
75 |
52 |
$62.60 |
| 85018 |
|
15 |
15 |
$38.16 |
| 85014 |
|
12 |
12 |
$29.37 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
14 |
$29.11 |