| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,145 |
902 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
286 |
225 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
385 |
295 |
$4K |
| H0049 |
Alcohol and/or drug screening |
115 |
102 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
142 |
65 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
207 |
188 |
$826.47 |
| 95117 |
|
76 |
24 |
$587.13 |
| 96150 |
|
136 |
122 |
$518.52 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
175 |
143 |
$162.81 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
12 |
$137.28 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
196 |
160 |
$101.13 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$96.17 |