| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
16 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
24 |
$0.00 |
| 81003 |
|
21 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
13 |
$0.00 |
| 99201 |
|
34 |
17 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
76 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
38 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
53 |
30 |
$0.00 |