| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,588 |
1,429 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
181 |
166 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
201 |
178 |
$4K |
| 99051 |
|
79 |
73 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
124 |
53 |
$545.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$239.12 |
| 90674 |
|
19 |
19 |
$140.25 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
14 |
$83.06 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
26 |
$58.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$5.97 |
| 99000 |
|
51 |
51 |
$0.00 |