| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,935 |
1,495 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
564 |
515 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
632 |
497 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
103 |
92 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
173 |
154 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
159 |
149 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
242 |
216 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
396 |
340 |
$492.86 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
77 |
71 |
$140.07 |
| 80306 |
|
29 |
29 |
$128.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
250 |
225 |
$69.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$64.32 |
| 90688 |
|
13 |
13 |
$56.28 |
| 99000 |
|
18 |
13 |
$0.00 |