| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,793 |
8,828 |
$474K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
690 |
510 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
197 |
191 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
13 |
$446.32 |
| 81003 |
|
165 |
157 |
$365.63 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
99 |
83 |
$233.80 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
21 |
12 |
$120.63 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$27.41 |