| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,906 |
2,438 |
$135K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,462 |
1,201 |
$91K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
162 |
120 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
310 |
237 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
19 |
$2K |
| 93000 |
|
75 |
72 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
79 |
71 |
$1K |
| 90686 |
|
101 |
84 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
39 |
35 |
$551.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
73 |
66 |
$399.71 |
| 82947 |
|
35 |
33 |
$129.88 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$76.68 |
| 85018 |
|
32 |
32 |
$71.92 |
| 81003 |
|
12 |
12 |
$26.16 |
| 99072 |
|
119 |
90 |
$2.00 |