| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,202 |
3,477 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,196 |
5,209 |
$164K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,704 |
1,393 |
$50K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
237 |
201 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
102 |
80 |
$1K |
| 90688 |
|
72 |
61 |
$786.09 |
| 93000 |
|
54 |
52 |
$529.96 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
25 |
$521.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
51 |
$302.64 |
| 94375 |
|
16 |
15 |
$210.16 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$30.51 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
44 |
40 |
$18.45 |