| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,737 |
5,383 |
$546K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,275 |
3,115 |
$317K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,297 |
1,245 |
$123K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,010 |
989 |
$104K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
219 |
184 |
$462.92 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
25 |
$222.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
38 |
$160.29 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
12 |
$6.48 |
| 81003 |
|
17 |
13 |
$2.38 |
| 99051 |
|
853 |
755 |
$0.00 |
| 99000 |
|
14 |
14 |
$0.00 |