| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
526 |
459 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
385 |
343 |
$24K |
| 99205 |
Prolong outpt/office vis |
95 |
93 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
34 |
$3K |
| 94760 |
|
626 |
532 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
146 |
69 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
45 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
55 |
$622.65 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$369.69 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
31 |
28 |
$307.34 |
| 93000 |
|
14 |
14 |
$201.98 |
| 81025 |
|
21 |
21 |
$118.17 |
| 81003 |
|
48 |
47 |
$94.74 |
| 99051 |
|
130 |
116 |
$0.00 |