| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,039 |
2,655 |
$181K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,472 |
555 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
495 |
362 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
590 |
478 |
$7K |
| 87807 |
|
34 |
32 |
$291.55 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
379 |
293 |
$289.43 |
| 81003 |
|
14 |
13 |
$39.83 |