| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,393 |
1,576 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
99 |
73 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
50 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
406 |
265 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
74 |
40 |
$124.38 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
14 |
$49.93 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
12 |
$1.82 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
13 |
$0.00 |