| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,218 |
2,936 |
$152K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,155 |
1,063 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
430 |
392 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
357 |
333 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,587 |
1,488 |
$19K |
| 99199 |
Unlisted special service, procedure or report |
1,260 |
1,021 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
209 |
177 |
$2K |
| 87807 |
|
47 |
47 |
$621.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$240.21 |
| 80047 |
|
223 |
12 |
$189.34 |
| 81003 |
|
68 |
61 |
$132.15 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
226 |
15 |
$96.90 |
| 81002 |
|
25 |
25 |
$72.45 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
37 |
30 |
$68.32 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
34 |
25 |
$53.89 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
24 |
$51.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
20 |
18 |
$7.84 |