| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,951 |
6,420 |
$227K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,807 |
1,749 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,601 |
1,461 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
91 |
87 |
$9K |
| 81025 |
|
2,025 |
1,921 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
239 |
225 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
71 |
35 |
$454.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
77 |
70 |
$299.83 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
185 |
171 |
$253.82 |
| 80053 |
Comprehensive metabolic panel |
123 |
118 |
$194.40 |
| 81003 |
|
182 |
168 |
$145.00 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
12 |
$13.48 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
104 |
59 |
$0.00 |
| 99000 |
|
179 |
150 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
45 |
41 |
$0.00 |