| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,038 |
843 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
633 |
514 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
509 |
359 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
65 |
37 |
$554.21 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
27 |
$545.16 |
| 81003 |
|
281 |
236 |
$268.63 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
28 |
$241.48 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
17 |
12 |
$122.37 |
| 96127 |
|
15 |
15 |
$50.51 |
| 81002 |
|
51 |
38 |
$49.66 |
| 36415 |
Collection of venous blood by venipuncture |
64 |
17 |
$27.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
12 |
$5.06 |