| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,932 |
6,260 |
$204K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,673 |
1,956 |
$42K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,689 |
1,260 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
28 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
29 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
169 |
134 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
44 |
$913.67 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
19 |
14 |
$720.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
359 |
254 |
$336.09 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,217 |
1,666 |
$229.34 |
| 1159F |
|
60 |
52 |
$0.00 |
| 1160F |
|
60 |
52 |
$0.00 |