| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
124 |
91 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
92 |
67 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
74 |
$1K |
| 99382 |
|
24 |
12 |
$646.15 |
| 99051 |
|
39 |
33 |
$438.93 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
198 |
76 |
$147.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
96 |
71 |
$124.34 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
54 |
43 |
$43.50 |
| 99173 |
|
19 |
12 |
$31.01 |
| 99000 |
|
177 |
126 |
$0.00 |
| 36416 |
|
27 |
15 |
$0.00 |