| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,676 |
2,649 |
$253K |
| 99199 |
Unlisted special service, procedure or report |
16,540 |
7,291 |
$84K |
| 99336 |
|
606 |
573 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
371 |
287 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
42 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
29 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
403 |
308 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
284 |
219 |
$297.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
18 |
$267.12 |
| 99490 |
Ccm add 20min |
17 |
16 |
$105.30 |