| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,204 |
1,083 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
307 |
300 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
214 |
196 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$739.40 |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
38 |
31 |
$396.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
18 |
$289.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
63 |
49 |
$119.72 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
27 |
19 |
$54.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
54 |
44 |
$22.77 |