| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,912 |
3,713 |
$232K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
761 |
669 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
426 |
385 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
330 |
238 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
285 |
129 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 81002 |
|
588 |
461 |
$1K |
| 3008F |
|
109 |
62 |
$512.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
56 |
$414.07 |
| 90756 |
|
53 |
36 |
$398.22 |
| 90674 |
|
39 |
29 |
$384.06 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
14 |
$23.58 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
14 |
$1.86 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |