| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,060 |
2,234 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
573 |
452 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
194 |
130 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
81 |
66 |
$651.54 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
24 |
$176.77 |
| 36415 |
Collection of venous blood by venipuncture |
21 |
14 |
$24.58 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
18 |
14 |
$18.99 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
14 |
$2.59 |
| 1000F |
|
18 |
12 |
$0.00 |