| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,948 |
4,226 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,650 |
1,558 |
$88K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
185 |
169 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
180 |
61 |
$3K |
| 90686 |
|
131 |
91 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
92 |
73 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$728.94 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
54 |
$692.22 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$354.20 |
| 90670 |
|
14 |
14 |
$191.18 |
| 36415 |
Collection of venous blood by venipuncture |
142 |
139 |
$62.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
13 |
$19.71 |