| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,253 |
5,827 |
$473K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,540 |
4,351 |
$302K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,026 |
963 |
$69K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,321 |
2,205 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
101 |
99 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
290 |
289 |
$6K |
| 90686 |
|
352 |
346 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
271 |
142 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,502 |
1,450 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
122 |
118 |
$2K |
| 81000 |
|
176 |
171 |
$546.88 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
876 |
824 |
$521.90 |
| 90656 |
|
23 |
23 |
$499.90 |
| J3490 |
Unclassified drugs |
1,183 |
1,125 |
$446.64 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,602 |
1,546 |
$233.33 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
103 |
98 |
$54.16 |
| G0008 |
Administration of influenza virus vaccine |
25 |
23 |
$0.00 |