| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,479 |
2,140 |
$99K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,571 |
755 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
858 |
390 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
202 |
193 |
$896.23 |
| 36415 |
Collection of venous blood by venipuncture |
140 |
132 |
$599.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
117 |
70 |
$586.09 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
356 |
264 |
$315.18 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,455 |
435 |
$277.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
856 |
245 |
$69.09 |
| 99000 |
|
250 |
228 |
$10.12 |
| 81002 |
|
47 |
42 |
$6.26 |