| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
59 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85 |
75 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
32 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
35 |
$508.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
17 |
$258.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
13 |
$16.28 |