| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,724 |
1,453 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,053 |
648 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
529 |
414 |
$10K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
368 |
310 |
$1K |
| 93000 |
|
54 |
53 |
$587.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
25 |
$366.62 |
| 82962 |
|
250 |
222 |
$352.98 |
| 90756 |
|
15 |
14 |
$124.21 |
| 81003 |
|
97 |
87 |
$104.35 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
63 |
51 |
$87.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
336 |
289 |
$84.09 |