| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,180 |
987 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
302 |
250 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
684 |
620 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
256 |
229 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
62 |
55 |
$831.31 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
102 |
81 |
$688.22 |
| 36415 |
Collection of venous blood by venipuncture |
172 |
130 |
$296.16 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$135.53 |