| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
409 |
370 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
83 |
79 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
364 |
175 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
52 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
233 |
226 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
106 |
103 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
17 |
$40.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
26 |
$16.74 |