| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,847 |
3,990 |
$118K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,049 |
860 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
239 |
201 |
$12K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
558 |
485 |
$8K |
| 87276 |
|
638 |
536 |
$6K |
| 87275 |
|
638 |
536 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
233 |
170 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
434 |
346 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
375 |
215 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
132 |
113 |
$467.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
49 |
38 |
$362.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$112.10 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
50 |
43 |
$84.40 |
| 81002 |
|
69 |
57 |
$25.62 |
| 3288F |
|
109 |
101 |
$0.00 |
| 1160F |
|
108 |
100 |
$0.00 |
| 1101F |
|
93 |
87 |
$0.00 |
| 1000F |
|
105 |
98 |
$0.00 |
| 3352F |
|
47 |
45 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
14 |
$0.00 |
| 4000F |
|
12 |
12 |
$0.00 |